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Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation
Joint Authors
Source
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-18
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Thoracic disc herniation is a relatively rare yet challenging-to-diagnose condition.
Currently there is no universally accepted optimal surgical treatment for symptomatic thoracic disc herniation.
Previously reported surgical approaches are often associated with high complication rates.
Here we describe our minimally invasive technique of removing thoracic disc herniation, and report the primary results of a series of cases.
Between January 2009 and March 2012, 13 patients with symptomatic thoracic disc herniation were treated with endoscopic thoracic foraminotomy and discectomy under local anesthesia.
A bone shaver was used to undercut the facet and rib head for foraminotomy.
Discectomy was achieved by using grasper, radiofrequency, and the Holmium-YAG laser.
We analyzed the clinical outcomes of the patients using the visual analogue scale (VAS), MacNab classification, and Oswestry disability index (ODI).
At the final follow up (mean: 17 months; range: 6–41 months), patient self-reported satisfactory rate was 76.9%.
The mean VAS for mid back pain was improved from 9.1 to 4.2, and the mean ODI was improved from 61.0 to 43.8.
One complication of postoperative spinal headache occurred during the surgery and the patient was successfully treated with epidural blood patch.
No other complications were observed or reported during and after the surgery.
American Psychological Association (APA)
Nie, Hong-Fei& Liu, Kai-Xuan. 2013. Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation. Minimally Invasive Surgery،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-458622
Modern Language Association (MLA)
Nie, Hong-Fei& Liu, Kai-Xuan. Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation. Minimally Invasive Surgery No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-458622
American Medical Association (AMA)
Nie, Hong-Fei& Liu, Kai-Xuan. Endoscopic Transforaminal Thoracic Foraminotomy and Discectomy for the Treatment of Thoracic Disc Herniation. Minimally Invasive Surgery. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-458622
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-458622