A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it

BACKGROUND: Thoracic myelopathy can have different aetiologies. Based on the location and on the nature of spinal cord compression, different surgical approaches may be indicated. METHOD: We present a rare case of thoracic myelopathy caused by the coexistence of a giant disc herniation, OPLL and OLF...

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Detalles Bibliográficos
Autores principales: Baram, Ali, De Robertis, Mario, Costa, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2021
Materias:
How I Do it - Spine degenerative
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212895/
https://www.ncbi.nlm.nih.gov/pubmed/34145501
http://dx.doi.org/10.1007/s00701-021-04887-z
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author Baram, Ali
De Robertis, Mario
Costa, Francesco
author_facet Baram, Ali
De Robertis, Mario
Costa, Francesco
author_sort Baram, Ali
collection PubMed
description BACKGROUND: Thoracic myelopathy can have different aetiologies. Based on the location and on the nature of spinal cord compression, different surgical approaches may be indicated. METHOD: We present a rare case of thoracic myelopathy caused by the coexistence of a giant disc herniation, OPLL and OLF, and we describe the surgical approach, with a focus on technical nuances and strategies to avoid complications. CONCLUSION: Careful presurgical planning and microsurgery are fundamental in achieving a satisfactory spinal cord decompression. IONM, endoscopy-assisted microsurgery and intraoperative navigation can enhance the safety of surgery and the extent of safe surgical decompression. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-021-04887-z.
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spelling pubmed-82128952021-06-21 A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it Baram, Ali De Robertis, Mario Costa, Francesco Acta Neurochir (Wien) How I Do it - Spine degenerative BACKGROUND: Thoracic myelopathy can have different aetiologies. Based on the location and on the nature of spinal cord compression, different surgical approaches may be indicated. METHOD: We present a rare case of thoracic myelopathy caused by the coexistence of a giant disc herniation, OPLL and OLF, and we describe the surgical approach, with a focus on technical nuances and strategies to avoid complications. CONCLUSION: Careful presurgical planning and microsurgery are fundamental in achieving a satisfactory spinal cord decompression. IONM, endoscopy-assisted microsurgery and intraoperative navigation can enhance the safety of surgery and the extent of safe surgical decompression. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-021-04887-z. Springer Vienna 2021-06-18 2021 /pmc/articles/PMC8212895/ /pubmed/34145501 http://dx.doi.org/10.1007/s00701-021-04887-z Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle How I Do it - Spine degenerative
Baram, Ali
De Robertis, Mario
Costa, Francesco
A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it
title A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it
title_full A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it
title_fullStr A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it
title_full_unstemmed A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it
title_short A rare case of giant calcified thoracic disc herniation, OPLL and OLF: how I do it
title_sort rare case of giant calcified thoracic disc herniation, opll and olf: how i do it
topic How I Do it - Spine degenerative
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212895/
https://www.ncbi.nlm.nih.gov/pubmed/34145501
http://dx.doi.org/10.1007/s00701-021-04887-z
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