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Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients
Calcified thoracic disc herniations present a rare and challenging entity. Due to the close proximity to the spinal cord and relative narrowing of the spinal canal, the optimal approach remains a matter of debate. While the transthoracic approach is usually preferred, we adapted a new technique desc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8338809/ https://www.ncbi.nlm.nih.gov/pubmed/33067681 http://dx.doi.org/10.1007/s10143-020-01413-0 |
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author | Negwer, Chiara Butenschoen, Vicki M. Krieg, Sandro M. Meyer, Bernhard |
author_facet | Negwer, Chiara Butenschoen, Vicki M. Krieg, Sandro M. Meyer, Bernhard |
author_sort | Negwer, Chiara |
collection | PubMed |
description | Calcified thoracic disc herniations present a rare and challenging entity. Due to the close proximity to the spinal cord and relative narrowing of the spinal canal, the optimal approach remains a matter of debate. While the transthoracic approach is usually preferred, we adapted a new technique described in 2012: the transdural posterior approach. Our aim was to evaluate its benefits in patients with giant thoracic disc protrusions. We retrospectively reviewed all patients treated in our neurosurgical department from July 2012 to March 2020. Demographics, pre- and postoperative clinical status, and operative technique and complications were extracted and analyzed. In total, 12 patients underwent a posterior transdural resection of giant calcified thoracic hard discs between 2012 and 2020. All patients underwent a posterior decompression (laminectomy, hemilaminectomy, or laminoplasty). The median duration of surgery was 152 min. Transient postoperative neurological deterioration occurred in 4 patients, with complete recovery until time of discharge. No patient underwent a surgical revision. The transdural resection of giant calcified thoracic hard discs through a posterior approach provides an excellent decompression with sufficient visualization of the spinal cord and a satisfying postoperative outcome. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10143-020-01413-0) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-8338809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-83388092021-08-20 Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients Negwer, Chiara Butenschoen, Vicki M. Krieg, Sandro M. Meyer, Bernhard Neurosurg Rev Original Article Calcified thoracic disc herniations present a rare and challenging entity. Due to the close proximity to the spinal cord and relative narrowing of the spinal canal, the optimal approach remains a matter of debate. While the transthoracic approach is usually preferred, we adapted a new technique described in 2012: the transdural posterior approach. Our aim was to evaluate its benefits in patients with giant thoracic disc protrusions. We retrospectively reviewed all patients treated in our neurosurgical department from July 2012 to March 2020. Demographics, pre- and postoperative clinical status, and operative technique and complications were extracted and analyzed. In total, 12 patients underwent a posterior transdural resection of giant calcified thoracic hard discs between 2012 and 2020. All patients underwent a posterior decompression (laminectomy, hemilaminectomy, or laminoplasty). The median duration of surgery was 152 min. Transient postoperative neurological deterioration occurred in 4 patients, with complete recovery until time of discharge. No patient underwent a surgical revision. The transdural resection of giant calcified thoracic hard discs through a posterior approach provides an excellent decompression with sufficient visualization of the spinal cord and a satisfying postoperative outcome. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10143-020-01413-0) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2020-10-16 2021 /pmc/articles/PMC8338809/ /pubmed/33067681 http://dx.doi.org/10.1007/s10143-020-01413-0 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Negwer, Chiara Butenschoen, Vicki M. Krieg, Sandro M. Meyer, Bernhard Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients |
title | Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients |
title_full | Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients |
title_fullStr | Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients |
title_full_unstemmed | Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients |
title_short | Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients |
title_sort | posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8338809/ https://www.ncbi.nlm.nih.gov/pubmed/33067681 http://dx.doi.org/10.1007/s10143-020-01413-0 |
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