How I do it: posterior transdural approach for central soft thoracic disk herniation

被引:3
作者
Mandelli, Carlo [1 ,2 ]
Spina, Alfio [1 ,2 ]
Calvanese, Francesco [1 ,2 ]
Mortini, Pietro [1 ,2 ]
机构
[1] Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Dept Neurosurg, Via Olgettina 60, I-20132 Milan, Italy
[2] Univ Vita Salute San Raffaele, IRCCS San Raffaele Sci Inst, Gamma Knife Radiosurg, Via Olgettina 60, I-20132 Milan, Italy
关键词
Thoracic disc herniation; Transdural approach; Spinal cord; Discectomy;
D O I
10.1007/s00701-020-04387-6
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background Thoracic disc herniation (TDH) is a rare condition with severe neurological sequelae. Surgical management is still a matter of debate and challenging. Method We present a modification of the transdural approach for TDH. The approach has been described in a stepwise fashion, analysing pre-, peri-, and postoperative strategies to improve patients' management and reduce approach-related morbidity. Conclusion The modified posterior transdural approach represents an effective technique for TDH, minimizing the risk of spinal cord damages, which can dramatically affect the outcome.
引用
收藏
页码:2051 / 2054
页数:4
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