Ultrasound-Guided Posterolateral Approach for Midline Calcified Thoracic Disc Herniation

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Ultrasound-Guided Posterolateral Approach for Midline Calcified Thoracic Disc Herniation

OBJECTIVE Symptomatic thoracic disc herniation often requires prompt surgical treatment to prevent neurological deterioration and permanent deficits. Anterior approaches offer direct visualization and access to the herniated disc and anterior dura but require access surgeons and are often associated with considerable postoperative pain and pulmonary complications. A disadvantage with using post...

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Spontaneous Resolution of Symptomatic Thoracic Spine Calcified Disc Herniation: A Case Report and Literature Review

Calcification of intervertebral disc (IVD) is an uncommon but well-defined clinical syndrome in children. Despite its benign nature, occasionally, calcified nucleus pulposus can herniate into the spinal canal. We report an interesting case of calcified disc herniation in the thoracic spine. Although it resulted in cord compression and syrinx formation, it well responded to conservative manageme...

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A posterolateral microsurgical approach to extreme-lateral lumbar disc herniation.

Extreme-lateral lumbar disc herniations present a surgical challenge because the conventional posterior approach requires bone resection for complete visualization of the pathology. The authors have identified constant anatomical landmarks in cadaveric dissections that facilitate access to the intervertebral foramen when combined with a posterolateral approach, as described by Watkins, for lumb...

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Minimally invasive retropleural approach for central thoracic disc herniation.

BACKGROUND The management of symptomatic thoracic disc herniation (TDH) has evolved tremendously ever since the first laminectomy was performed. The last decade has witnessed the evolution of minimally invasive approaches for TDH most of which have been posterior/posterolateral. Traditional anterior approaches involve a thoracotomy or more recently, thoracoscopic techniques. The authors describ...

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Thoracic disc herniations: transthoracic, lateral, or posterolateral approach? A review.

BACKGROUND The choice between transthoracic, lateral, and posterolateral approaches to excise thoracic disc herniations remains controversial. METHODS The outcome of the three approaches was compared in seven of the authors' cases and in 324 other cases reported in the literature. RESULTS Partial or total neurological recovery was found in 93% after a transthoracic procedure versus 87% afte...

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ژورنال

عنوان ژورنال: Journal of Korean Neurosurgical Society

سال: 2014

ISSN: 2005-3711,1598-7876

DOI: 10.3340/jkns.2014.55.6.383