REMOVAL OF A PROTRUDED THORACIC DISC USING MICROSURGICAL ENDOSCOPY - A NEW TECHNIQUE

被引：144

作者：

ROSENTHAL, D

ROSENTHAL, R

DESIMONE, A

机构：

[1] Department of Neurosurgery, University Hospital, Frankfurt am Main

[2] Department of Surgery, Nordwest Hospital, Frankfurt am Main

[3] Department of Neuroradiology, University Hospital, Frankfurt am Main

来源：

SPINE | 1994年 / 19卷 / 09期

关键词：

Disc herniation; Dorsal spine; Endoscopic surgery; Spinal cord compression; Ventral approach to the spine;

D O I：

10.1097/00007632-199405000-00018

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. The first clinical implementation of a microsurgical endoscopic technique for removal of thoracic disc herniation is described. Objective. To decompress the spinal cord with a ventral approach, combining microsurgical and endoscopic techniques, while reducing the ''approach-related trauma.'' Methods. A detailed description of the preoperative preparation as well as the surgical technique is given. Advantages and disadvantages of the microsurgical endoscopic technique are discussed and compared with other surgical procedures described in the literature. Results. A herniated disc at T6-T7 was removed and the spinal cord was decompressed. The patient recovered completely and was discharged at the seventh postoperative day. He returned to work 4 weeks later. Conclusions. The microsurgical endoscopic technique allows spinal cord decompression with a substantial reduction in surgical trauma. It may shorten bed confinement and allow early return to active life. Application of this technique in other areas is being studied.

引用

页码：1087 / 1091

页数：5

共 29 条

[21]

Menard V., Etude Practique Sur Le Mal De Pott, (1900)

[22]

Otani K., Nakai S., Fujimura Y., Manzoku S., Shibasaki K., Surgical treatment of thoracic disc herniation using the anterior approach, J Bone Joint Surg [Br], 64, pp. 340-343, (1982)

[23]

Patterson R.H., Arbit E., A surgical approach through the pedicle to protruded thoracic discs, J Neurosurg, 48, pp. 768-772, (1978)

[24]

Perot P.L., Munro D.D., Transthoracic removal of midline thoracic disc protrusions causing spinal cord compression, J Neurosurg, 31, pp. 452-458, (1969)

[25]

Ransohoff J., Spencer F., Siew F., Gage L., Transthoracic removal of thoracic disc: Report of three cases, J Neurosurg, 31, pp. 459-461, (1969)

[26]

Reif J., Gilsbach J., Ostheim-Dzerowycz W., Differential diagnosis and therapy of herniated thoracic disc. Discussion of six cases, Acta Neurochir, 67, pp. 225-265, (1983)

[27]

Sekhar L., Jannetta P.J., Thoracic disc herniation operative approaches and results, Neurosurgery, 12, pp. 303-305, (1983)

[28]

Tonnarelli G.P., Surgical treatment of thoracic disc protru-sion, Acta Neurochir, 49, pp. 245-254, (1979)

[29]

Wenig C., Thorakale Bandscheibenvorfälle, Dtsch Med Wochschren, 98, pp. 2483-2486, (1973)

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