Midterm outcome of thoracic disc herniations that were treated by microdiscectomy with bilateral decompression via unilateral approach

Yüce, İsmail; Kahyaoğlu, Okan; Çavuşoğlu, Halit; Aydın, Yunus

doi:10.1016/j.jocn.2018.09.033

Cited by 9 publications

(8 citation statements)

References 32 publications

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“…Open decompression inflicts great trauma, has a high rate of complications, and possibly requires additional internal fixation [4,7,8]. With the improvement of minimally invasive surgery, video-assisted thoracoscopic surgery, microendoscopic surgery, and full-endoscopic surgery have achieved satisfactory clinical outcomes and fewer complications in the treatment of TDH [15][16][17]. In this retrospective clinical study, we introduced a modified fullendoscopic ventral decompression technique for TDH.…”

Section: Discussionmentioning

confidence: 99%

Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series

Gao

Wei

et al. 2021

Pain Research and Management

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Background. Symptomatic thoracic disc herniation is a challenge in spinal surgery, especially for cases with calcification. Traditional open operation has a high complication rate. The authors introduced a modified full-endoscopic transforaminal ventral decompression technique in this study and evaluated its imaging and clinical outcomes. Materials and Methods. Eleven patients with symptomatic thoracic disc herniation who underwent full-endoscopic transforaminal ventral decompression in a single medical center were enrolled. The surgical technique was performed as described in detail. Dilator sliding punching, endoscope-monitored foraminoplasty, and base cutting through the “safe triangle zone” are the key points of the technique. Clinical outcomes were assessed by the modified Japanese Orthopedic Association (mJOA) score for neurological improvement and the visual analogy score (VAS) for thoracic and leg pain. The operation time, hospital stay, and complications were also analyzed. Results. Postoperative magnetic resonance imaging (MRI) revealed good decompression of the spinal cord. The mJOA improved from 7.4 (range: 5–10) to 10.2 (range: 9–11). Axial thoracic pain improved in 8 of 9 patients. Leg pain and thoracic radicular pain improved in all patients. No complications were observed. The average operation time was 136 minutes (range: 70–180 minutes). The average length of hospital stay was 5.3 days (range: 2–8 days). Conclusion. Minimally invasive full-endoscopic transforaminal ventral decompression for the treatment of symptomatic thoracic disc herniation with or without calcification is feasible and may be another option for this challenging spine disease.

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Section: Discussionmentioning

confidence: 99%

Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series

Gao

Wei

et al. 2021

Pain Research and Management

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“…PEID was reported to treat several degenerative lumbar disease, such as degenerative scoliosis and spondylolisthesis, lumbar stenosis, and thoracic disc herniations 14,22,23 . Previous reports have already demonstrated that ULBD is a effective and safe approach to treat degenerative spondylolisthesis 10 .Several clinical study focused attentionon the clinical e cacy of ULBD for the treatment of severe lumbar stenosis.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, this surgical procedure can be an effective treatment of other degenerative lumbar diseases.Thoracic disc herniations were rst reported by Yüce et al 23 to be alleviatied by ULBD approach.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Tubular Approach for Bilateral Laminotomy vs Transforaminal Lumbar Interbody Fusion for Lumbar Spinal Stenosis

Lv¹,

Hu²,

Zhang³

et al. 2020

Preprint

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Background: Endoscopic techniques is considered to be the standard tissue sparing approach for surgical advantages, rapid rehabilitation, and instability prevention. PEID techniques were introduced to treat lumbar spinal stenosis. However, its effectiveness and safety in the treatment of moderate and severe lumbar stenosis is uncertain.Methods: Between June 2014 and June 2016, patients suffering from lumbar spinal stenosis underwent a bilateral laminotomy through a unilateral tubular approach. Demographics, intraoperative data, and patient-reported outcomes were ascertainedResults:There were no significant differences in patient demographics between the two groups. The statistically significant improvements in leg and back VAS scores were reported on the ipsilateral and the contralateral side (p<0.05, respectively). Analysis of VAS and ODI scores demonstrated no significant differences in improvement on both groups. There were no difference in radiographical and intraoperative outcomes during the follow-up period. Conclusions: Regarding the intraoperative data, and patient-reported outcomes, the PEID is a safety, and efficacy minimally invasive technique. This observation suggests that the PEID techniques were excellent or showed good results.

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“…Основные показания к операциимиелопатия и радикулопатия, дискогенный генез которых подтвержден результатами МРТ и СКТ. Изолированная радикулопатия являлась показанием для операции при наличии выраженного хронического болевого синдрома, толерантного к консервативной терапии, однако оптимальные сроки ее проведения не определены [3][4][5].…”

Section: результаты и их обсуждениеunclassified

Surgery of Thoracic Disc Herniation: A Systematic Review of English-Language Literature

Simonovich

2019

Hir. pozvonoč.

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The presented review of scientific publications from the Medline (PubMed) and Scopus databases considers modern surgical approaches used to remove intervertebral hernias in the thoracic spine. The advantages and disadvantages of anterior and posterior approaches are analyzed. It has been revealed that the anterior approaches, providing a good opportunity to remove a hernia, are associated with the risk of serious complications, including pulmonary ones, and often lead to the formation of a post-thoracotomy pain syndrome. Mini-thoracotomy and percutaneous thoracoscopy, although less invasive, do not exclude the development of complications inherent in conventional thoracotomy. Modern posterior approaches are less traumatic and allow, with minimal contact with the spinal cord, to successfully remove not only soft tissue, but also ossified disc herniation. The choice of the optimal method of discectomy remains an unsolved problem and depends on practical skills, experience and preferences of the surgeon. For an objective and reliable assessment of the efficiency of surgical technologies and the determination of optimal indications for each of them, a prospective multicenter study is necessary.

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Midterm outcome of thoracic disc herniations that were treated by microdiscectomy with bilateral decompression via unilateral approach

Cited by 9 publications

References 32 publications

Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series

Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series

Unilateral Tubular Approach for Bilateral Laminotomy vs Transforaminal Lumbar Interbody Fusion for Lumbar Spinal Stenosis

Surgery of Thoracic Disc Herniation: A Systematic Review of English-Language Literature

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