TY - JOUR
T1 - Outpatient endoscopic resection of large calcified thoracic disc herniation with caudal displacement
AU - Konakondla, Sanjay
AU - Sofoluke, Nelson
AU - Barber, Sean M.
AU - Rimini, Sarah A.
AU - Slotkin, Jonathan R.
N1 - Publisher Copyright:
© 2022 The authors.
PY - 2022/1
Y1 - 2022/1
N2 - Thoracic disc herniations can cause radiculopathy and myelopathy from neural compression. Surgical resection may require complex, morbid approaches. To avoid spinal cord retraction, wide exposures requiring extensive tissue, muscle, and bony disruption are needed, which may require instrumentation. Anterior approaches may require vascular surgeons, chest tube placement, and intensive care admission. Large, calcified discs or migrated fragments can pose additional challenges. Previous literature has noted the endoscopic approach to be contraindicated for calcified thoracic discs. The authors describe an ultra–minimally invasive, ambulatory endoscopic approach to resect a large calcified thoracic disc with caudal migration and avoidance of conventional approaches.
AB - Thoracic disc herniations can cause radiculopathy and myelopathy from neural compression. Surgical resection may require complex, morbid approaches. To avoid spinal cord retraction, wide exposures requiring extensive tissue, muscle, and bony disruption are needed, which may require instrumentation. Anterior approaches may require vascular surgeons, chest tube placement, and intensive care admission. Large, calcified discs or migrated fragments can pose additional challenges. Previous literature has noted the endoscopic approach to be contraindicated for calcified thoracic discs. The authors describe an ultra–minimally invasive, ambulatory endoscopic approach to resect a large calcified thoracic disc with caudal migration and avoidance of conventional approaches.
KW - ambulatory surgery
KW - endoscopic spine surgery
KW - thoracic disc
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U2 - 10.3171/2021.10.FOCVID2112
DO - 10.3171/2021.10.FOCVID2112
M3 - Article
AN - SCOPUS:85163757073
SN - 2643-5217
VL - 6
JO - Neurosurgical Focus: Video
JF - Neurosurgical Focus: Video
IS - 1
M1 - V18
ER -