A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations
Thoracic disc herniation (TDH) is a rare, but technically challenging, disorder. Apart from their unfamiliarity with this condition, surgeons are often posed with challenges regarding the diverse methods available to address TDH, the neurological disturbances accompanying the disorder, the prospect...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Spinal Neurosurgery Society
2019-03-01
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| Series: | Neurospine |
| Subjects: | |
| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-1938014-007.pdf |
| _version_ | 1797331283697729536 |
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| author | Sagar B. Sharma Jin-Sung Kim |
| author_facet | Sagar B. Sharma Jin-Sung Kim |
| author_sort | Sagar B. Sharma |
| collection | DOAJ |
| description | Thoracic disc herniation (TDH) is a rare, but technically challenging, disorder. Apart from their unfamiliarity with this condition, surgeons are often posed with challenges regarding the diverse methods available to address TDH, the neurological disturbances accompanying the disorder, the prospect of iatrogenic cord damage during surgical procedures, and the complications associated with various surgical approaches. In today’s era, when minimally invasive surgery has been incorporated into almost every aspect of managing spine disorders, it is necessary for surgeons to be aware of the various minimally invasive techniques available for the management of these rare and difficult conditions. In this review article, we provide a synopsis of the epidemiology, clinical features, and technical aspects of TDH, starting from level identification to intraoperative neuromonitoring and including important steps and guidance for all the minimally invasive approaches to TDH. We conclude the review by providing insights into the clinical decision-making process and outline the specific aspects of “giant” thoracic discs and indications for fusion in certain conditions. Outcomes of minimally invasive surgery for these conditions are generally favorable. The location of herniation is an important factor for surgical planning. |
| first_indexed | 2024-03-08T07:32:12Z |
| format | Article |
| id | doaj.art-9216b23e610c49f082c8c903c4b99b97 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:32:12Z |
| publishDate | 2019-03-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-9216b23e610c49f082c8c903c4b99b972024-02-02T20:01:28ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912019-03-01161243310.14245/ns.1938014.007859A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc HerniationsSagar B. Sharma0Jin-Sung Kim1 Department of Neurosurgery, The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul, Korea Department of Neurosurgery, The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul, KoreaThoracic disc herniation (TDH) is a rare, but technically challenging, disorder. Apart from their unfamiliarity with this condition, surgeons are often posed with challenges regarding the diverse methods available to address TDH, the neurological disturbances accompanying the disorder, the prospect of iatrogenic cord damage during surgical procedures, and the complications associated with various surgical approaches. In today’s era, when minimally invasive surgery has been incorporated into almost every aspect of managing spine disorders, it is necessary for surgeons to be aware of the various minimally invasive techniques available for the management of these rare and difficult conditions. In this review article, we provide a synopsis of the epidemiology, clinical features, and technical aspects of TDH, starting from level identification to intraoperative neuromonitoring and including important steps and guidance for all the minimally invasive approaches to TDH. We conclude the review by providing insights into the clinical decision-making process and outline the specific aspects of “giant” thoracic discs and indications for fusion in certain conditions. Outcomes of minimally invasive surgery for these conditions are generally favorable. The location of herniation is an important factor for surgical planning.http://www.e-neurospine.org/upload/pdf/ns-1938014-007.pdfThoracic disc herniationsSpinal endoscopyThoracic myelopathyGiant thoracic herniationsDiscectomyMinimally invasive spine surgery |
| spellingShingle | Sagar B. Sharma Jin-Sung Kim A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations Neurospine Thoracic disc herniations Spinal endoscopy Thoracic myelopathy Giant thoracic herniations Discectomy Minimally invasive spine surgery |
| title | A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations |
| title_full | A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations |
| title_fullStr | A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations |
| title_full_unstemmed | A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations |
| title_short | A Review of Minimally Invasive Surgical Techniques for the Management of Thoracic Disc Herniations |
| title_sort | review of minimally invasive surgical techniques for the management of thoracic disc herniations |
| topic | Thoracic disc herniations Spinal endoscopy Thoracic myelopathy Giant thoracic herniations Discectomy Minimally invasive spine surgery |
| url | http://www.e-neurospine.org/upload/pdf/ns-1938014-007.pdf |
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