Surgery of thoracic disc herniation: a systematic review of English-language literature
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 reveale...
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2019-03-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/1555/1526 |
| _version_ | 1797764268672679936 |
|---|---|
| author | Alexandr E. Simonovich |
| author_facet | Alexandr E. Simonovich |
| author_sort | Alexandr E. Simonovich |
| collection | DOAJ |
| description | 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-thora-
cotomy 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. |
| first_indexed | 2024-03-12T19:53:14Z |
| format | Article |
| id | doaj.art-aef34d322f2f4f3189a3a71b7d3ebd1e |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T19:53:14Z |
| publishDate | 2019-03-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-aef34d322f2f4f3189a3a71b7d3ebd1e2023-08-02T03:01:12ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972019-03-01161708010.14531/ss2019.1.70-80Surgery of thoracic disc herniation: a systematic review of English-language literatureAlexandr E. Simonovich0https://orcid.org/0000-0003-2822-3479Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan, Novosibirsk, RussiaThe 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-thora- cotomy 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.https://www.spinesurgery.ru/jour/article/view/1555/1526thoracic spineintervertebral herniasurgical approaches |
| spellingShingle | Alexandr E. Simonovich Surgery of thoracic disc herniation: a systematic review of English-language literature Хирургия позвоночника thoracic spine intervertebral hernia surgical approaches |
| title | Surgery of thoracic disc herniation: a systematic review of English-language literature |
| title_full | Surgery of thoracic disc herniation: a systematic review of English-language literature |
| title_fullStr | Surgery of thoracic disc herniation: a systematic review of English-language literature |
| title_full_unstemmed | Surgery of thoracic disc herniation: a systematic review of English-language literature |
| title_short | Surgery of thoracic disc herniation: a systematic review of English-language literature |
| title_sort | surgery of thoracic disc herniation a systematic review of english language literature |
| topic | thoracic spine intervertebral hernia surgical approaches |
| url | https://www.spinesurgery.ru/jour/article/view/1555/1526 |
| work_keys_str_mv | AT alexandresimonovich surgeryofthoracicdischerniationasystematicreviewofenglishlanguageliterature |