A Novel Surgical Technique for Management of Giant Central Calcified Thoracic Disk Herniations: A Dual Corridor Method Involving Tubular Transthoracic/Retropleural Approach Followed by a Posterior Transdural Diskectomy.

Autor:	Lowe SR; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina., Alshareef MA; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina., Kellogg RT; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina., Eriksson EA; Department of General Surgery, Medical University of South Carolina, Charleston, South Carolina., Kalhorn SP; Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina.
Jazyk:	angličtina
Zdroj:	Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2019 May 01; Vol. 16 (5), pp. 626-632.
DOI:	10.1093/ons/opy225
Abstrakt:	Background: Thoracic disk herniations (TDHs) represent only 0.15% to 1.8% of surgically managed disk herniations but have posed a particular challenge to spine surgeons. Numerous surgical approaches have been cited in the literature with varying degrees of success, technical complexity, and complication profiles. Objective: To report a case of a combined lateral retropleural and dorsal transdural approach for complex thoracic discectomy. Methods: In this report, we describe a combined lateral/retropleural and posterior transdural approach for a patient with a giant calcified TDH that was not amenable to safe removal using a single approach. Results: In complex situations such as this, a dual corridor approach allows for improved visualization and maximal resection opportunity and opens up yet another option to address recalcitrant TDH. Conclusion: The staged dual corridor approach is safe and represents a further surgical option for extremely difficult TDH. (Copyright © 2018 by the Congress of Neurological Surgeons.)
Databáze:	MEDLINE
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