Abstract
This chapter gives an overview about the philosophy of approaching thoracic disc herniation anteriorly, using either thoracoscopy or mini-open (trans- or retropleural) endoscopically assisted approaches.
Thoracic disc diseases are still considered a big therapeutic challenge because:
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There are only few studies dealing with the illness’s natural evolution.
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Their non-characteristic presentation pattern.
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And the missing evidence comparing surgical and nonsurgical treatments. With this background the surgeon has not only to decide if surgery will benefit the patient but also which approach is the most suitable and less risky for any given case.
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Rosenthal D, Dickman CA (1998) Thoracoscopic microsurgical excision of herniated thoracic discs. J Neurosurg 89:224–235
Anand N, Regan JJ (2002) Video-assisted thoracoscopic surgery for thoracic disc disease: classification and outcome study of 100 consecutive cases with a 2-year minimum follow-up period. Spine (Phila Pa 1976) 27:871–879
Quint U, Bordon G, Preissl I, Sanner C, Rosenthal D (2012) Thoracoscopic treatment for single level symptomatic thoracic disc herniation: a prospective followed cohort study in a group of 167 consecutive cases. Eur Spine J 21:637–645
Oskouian RJ, Johnson JP (2005) Endoscopic thoracic microdiscectomy. J Neurosurg Spine 3:459–464
Angevin PD, McCormick PC (2001) Retropleural thoracotomy. Technical note. Neurosurg Focus 10:ecp1
Deviren V, Kuelling FA, Poulter G, Pekmezci M (2011) Minimal invasive anterolateral transthoracic transpleural approach: a novel technique for thoracic disc herniation. A review of the literature, description of a new surgical technique and experience with first 12 consecutive patients. J Spinal Disord Tech 24:E40–E48
Jain A, Menga EN, Hassanzadeh H, Jain P, Lemma MA, Mesfin A (2014) Thoracic disc disorders with myelopathy: treatment trends, patient characteristics, and complications. Spine (Phila Pa 1976) 39:E1233–E1238
Patterson RH Jr, Arbit E (1978) A surgical approach through the pedicle to protruded thoracic discs. J Neurosurg 48:768–772
Stillerman CB, Chen TC, Day JD, Couldwell WT, Weiss MH (1995) The transfacet pedicle-sparing approach for thoracic disc removal: cadaveric morphometric analysis and preliminary clinical experience. J Neurosurg 83:971–976
Maiman DJ, Larson SJ, Luck E, El-Ghatit A (1984) Lateral extracavitary approach to the spine for thoracic disc herniation: report of 23 cases. Neurosurgery 14:178–182
Chen TC (2000) Surgical outcome for thoracic disc surgery in the postlaminectomy era. Neurosurg Focus 9:e12
Aizawa T, Sato T, Sasaki H, Matsumoto F, Morozumi N, Kusakabe T, Itoi E, Kokubun S (2007) Results of surgical treatment for thoracic myelopathy: minimum 2-year follow-up study in 132 patients. J Neurosurg Spine 7:13–20
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© 2016 Springer International Publishing Switzerland
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Rosenthal, D., Preissl, I., Fernandez, R. (2016). Thoracic Disk Herniation: Endoscopic Resection. In: van de Kelft, E. (eds) Surgery of the Spine and Spinal Cord. Springer, Cham. https://doi.org/10.1007/978-3-319-27613-7_18
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DOI: https://doi.org/10.1007/978-3-319-27613-7_18
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