Biomechanics of thoracic discectomy

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Biomechanics of thoracic discectomy.

The thoracic spine is a structurally unique region that renders it uniquely susceptible to thoracic disc herniation. Surgical management strategies are complicated, in part, by the regional anatomical and biomechanical nuances. Surgical approaches include posterior, posterolateral, and anterior routes. Each is associated with specific indications and contraindications. The biomechanical princip...

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Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation

Thoracic disc herniation is a relatively rare yet challenging-to-diagnose condition. Currently there is no universally accepted optimal surgical treatment for symptomatic thoracic disc herniation. Previously reported surgical approaches are often associated with high complication rates. Here we describe our minimally invasive technique of removing thoracic disc herniation, and report the primar...

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Arthroscopic discectomy and interbody fusion of the thoracic spine: A report of ipsilateral 2-portal approach

BACKGROUND The standard approach to the thoracic disc is through thoracotomy. The video-assisted thoracoscopic approach has been used as an alternative to the open approach for nearly 20 years, and more recently, extracavitary, posterolateral approaches have been introduced. Both the transthoracic procedures involve deflating the lung for access to the spine, and postoperative thoracic drainage...

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Posterolateral discectomy and interbody fusion in the treatment of thoracic disc herniation

The aim of this study was to evaluate the surgical safety and efficacy of the Posterolateral Interlaminar Approach (PIA) for treating Thoracic Disc Herniation (TDH). A total of 24 TDH cases were treated via PIA between January 2006 and August 2014. Japanese Orthopedic Association (JOA) scoring, Otani grading, and the Bridwell criteria were used to evaluate treatment efficacy. Twenty-four patien...

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Video-assisted thoracoscopic surgery combined with a tubular retractor system for minimally invasive thoracic discectomy.

BACKGROUND Several approaches have been proposed for the treatment of thoracic disc herniations. Posterior approaches include transpedicular, costotransversectomy, and lateral extracavitary; anterior approaches include retropleural and transpleural thoracotomy and thoracoscopy. OBJECTIVE We present a novel minimally invasive approach to thoracic discectomies, combining thoracoscopy and a tubu...

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ژورنال

عنوان ژورنال: Neurosurgical Focus

سال: 2001

ISSN: 1092-0684

DOI: 10.3171/foc.2001.11.3.7