TY - JOUR
T1 - Posterior transdural resection of giant calcified thoracic disc herniation in a case series of 12 patients
AU - Negwer, Chiara
AU - Butenschoen, Vicki M.
AU - Krieg, Sandro M.
AU - Meyer, Bernhard
N1 - Publisher Copyright:
© 2020, The Author(s).
PY - 2021/8
Y1 - 2021/8
N2 - 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.
AB - 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.
KW - Giant thoracic disc herniation
KW - Transdural surgery
UR - http://www.scopus.com/inward/record.url?scp=85092664466&partnerID=8YFLogxK
U2 - 10.1007/s10143-020-01413-0
DO - 10.1007/s10143-020-01413-0
M3 - Article
C2 - 33067681
AN - SCOPUS:85092664466
SN - 0344-5607
VL - 44
SP - 2277
EP - 2282
JO - Neurosurgical Review
JF - Neurosurgical Review
IS - 4
ER -