scholarly journals A Novel Surgical Technique for Management of Giant Central Calcified Thoracic Disk Herniations: A Dual Corridor Method Involving Tubular Transthoracic/Retropleural Approach Followed by a Posterior Transdural Diskectomy

2018 ◽  
Vol 15 (5) ◽  
pp. 610-610
2018 ◽  
Vol 16 (5) ◽  
pp. 626-632
Author(s):  
Stephen R Lowe ◽  
Mohammed A Alshareef ◽  
Ryan T Kellogg ◽  
Evert A Eriksson ◽  
Stephen P Kalhorn

Abstract BACKGROUND Thoracic disk herniations (TDHs) represent only 0.15% to 1.8% of surgically managed disk herniations but have posed a particular challenge to spine surgeons. Numerous surgical approaches have been cited in the literature with varying degrees of success, technical complexity, and complication profiles. OBJECTIVE To report a case of a combined lateral retropleural and dorsal transdural approach for complex thoracic discectomy. METHODS In this report, we describe a combined lateral/retropleural and posterior transdural approach for a patient with a giant calcified TDH that was not amenable to safe removal using a single approach. RESULTS In complex situations such as this, a dual corridor approach allows for improved visualization and maximal resection opportunity and opens up yet another option to address recalcitrant TDH. CONCLUSION The staged dual corridor approach is safe and represents a further surgical option for extremely difficult TDH.


2006 ◽  
Vol 175 (4S) ◽  
pp. 544-544
Author(s):  
Mireia Musquera ◽  
Anna Agud ◽  
Lluis Peri ◽  
Maria Jose Ribal ◽  
Federico Oppenheimer ◽  
...  

2014 ◽  
Vol 62 (S 01) ◽  
Author(s):  
K.-W. Felkel ◽  
K. Kampmann ◽  
F. Hahnel ◽  
H. Reichenspurner ◽  
H. Gulbins

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