Safe Extraforaminal Docking and Floating Technique in Transforaminal Endoscopic Discectomy for Thoracolumbar Junction for Calcified Disc Herniation: A Case Report and Technical Review Junction for Calcified Disc Herniation

Abstract

Objective: Thoracolumbar disc herniation is an uncommon disabling spine condition. Methods: There is relatively large dura expansion to lateral recess in the thoracolumbar junction leading to potential hazard in docking and execution of endoscopic transforaminal discectomy. Mobile outside in technique had been executed successfully in lumbar disc herniation, we modified the technique to allow safe docking and execution of discectomy in thoracolumbar junction. Herein, we report a case of thoracic twelve lumbar one disc paracentral disc herniation treated with floating transforaminal endoscopic discectomy under local anesthesia. Results: A 46-year-old man with a 3-months of severe back and radicular pain on the right groin. A diagnosis of right T12/L1 paracentral disc herniation was made, based on clinical and radiological investigations. He underwent percutaneous transforaminal endoscopic thoracolumbar discectomy with floating technique. Over a follow-up of 6 months, a favorable outcome was noted. Conclusion: Floating technique of transforaminal endoscopic thoracolumbar junction discectomy is a safe and an effective surgical approach for the treatment of thoracolumbar disc herniation. In patients with thoracolumbar disc herniation, careful patient selection and evaluation neural elements anatomy in relation to bony anatomy is important in preparation for endoscopic decompression.

Maximal Benefit Zone of Endoscopic Spine Surgery in the Cervical and Thoracic Spine: Rationale of Endoscopic Spine Surgery in the Cervical-thoracic Region

“…One of limitation in posterior cervical-thoracic spinal surgery is significant postoperative neck and upper back pain due to stripping of paraspinal muscle in posterior approach [3]. Several articles had demonstrated good postoperative pain score and neck disability index after cervical-thoracic endoscopic spine surgery [4][5][6]. This is important to patients as postoperative neck pain is a significant limiting factor to early return to work.…”

Comparative Clinical and Radiographic Cohort Study: Uniportal Thoracic Endoscopic Laminotomy With Bilateral Decompression by Using the 1-Block Resection Technique and Thoracic Open Laminotomy With Bilateral Decompression for Thoracic Ossified Ligamentum Flavum

“…There are reported success in other literature on a transforaminal approach to perform endoscopic decompression on thoracic spinal stenosis and prolapsed disk. 10–12 There is paucity of literature in comparative evaluation of clinical results and MRI to evaluate the efficacy of decompression between the 2 different techniques of thoracic endoscopic unilateral laminotomy with bilateral decompression (TE-ULBD) and conventional thoracic open laminotomy (TOL) with bilateral decompression on clinically significant thoracic myelopathic patients caused by OLF. We aimed to perform a comparative interventional cohort study between TE-ULBD and TOL in thoracic OLF.…”