Outpatient endoscopic resection of large calcified thoracic disc herniation with caudal displacement.

Autor:	Konakondla S; Geisinger Neuroscience Institute, Geisinger, Danville, Pennsylvania., Sofoluke N; Geisinger Neuroscience Institute, Geisinger, Danville, Pennsylvania., Barber SM; Department of Neurosurgery, Houston Methodist Neurological Institute, Houston, Texas; and., Rimini SA; Radiology 3D Lab, Geisinger, Danville, Pennsylvania., Slotkin JR; Geisinger Neuroscience Institute, Geisinger, Danville, Pennsylvania.
Jazyk:	angličtina
Zdroj:	Neurosurgical focus: Video [Neurosurg Focus Video] 2022 Jan 01; Vol. 6 (1), pp. V18. Date of Electronic Publication: 2022 Jan 01 (Print Publication: 2022).
DOI:	10.3171/2021.10.FOCVID2112
Abstrakt:	Thoracic disc herniations can cause radiculopathy and myelopathy from neural compression. Surgical resection may require complex, morbid approaches. To avoid spinal cord retraction, wide exposures requiring extensive tissue, muscle, and bony disruption are needed, which may require instrumentation. Anterior approaches may require vascular surgeons, chest tube placement, and intensive care admission. Large, calcified discs or migrated fragments can pose additional challenges. Previous literature has noted the endoscopic approach to be contraindicated for calcified thoracic discs. The authors describe an ultra-minimally invasive, ambulatory endoscopic approach to resect a large calcified thoracic disc with caudal migration and avoidance of conventional approaches. The video can be found here: https://stream.cadmore.media/r10.3171/2021.10.FOCVID2112. Competing Interests: Dr. Konakondla reports being an educational consultant for Stryker and Joimax. Dr. Slotkin reports personal fees from Stryker and Medtronic, outside the submitted work. (© 2022, The Authors.)
Databáze:	MEDLINE
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