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Article: Thoracic microendoscopic discectomy

TitleThoracic microendoscopic discectomy
Authors
KeywordsDiscectomy
Intervertebral disc
Nficroendoscopic discectomy
Thoracic spine
Issue Date2004
PublisherAmerican Association of Neurological Surgeons. The Journal's web site is located at http://www.thejns-net.org
Citation
Journal Of Neurosurgery, 2004, v. 101 n. 1 SUPPL., p. 58-63 How to Cite?
AbstractObject. Various approaches exist for the treatment of thoracic disc herniation. Anterior approaches facilitate ventral exposure but place the intrathoracic contents at risk. Posterolateral approaches require extensive muscle dissection that adds to the risk of postoperative morbidity. The authors have developed a novel posterolateral, minimally invasive thoracic microendoscopic discectomy (TMED) technique that provides an approach to the thoracic spine which is associated with less morbidity. Methods. Seven patients 23 to 54 years old with nine disc herniations underwent TMED. All lesions were soft lateral or midline thoracic disc herniations. Under fluoroscopic guidance with the patient positioned prone, the authors used a muscle dilation approach and the procedure was performed with endoscopic visualization through a tubular retractor. Based on a modified Prolo Scale, five patients experienced excellent results, one good, and one fair. No case required conversion to an open procedure. The mean operative time was 1.7 hours per level, and estimated blood loss was 111 ml per level. Hospital stays were short, and no complications occurred. Conclusions. The TMED is safe, effective, and provides a minimally invasive posterolateral alternative for treatment of thoracic disc herniation without the morbidity associated with traditional approaches.
Persistent Identifierhttp://hdl.handle.net/10722/92895
ISSN
2015 Impact Factor: 3.443
2015 SCImago Journal Rankings: 1.673
References

 

DC FieldValueLanguage
dc.contributor.authorPerezCruet, MJen_HK
dc.contributor.authorKim, BSen_HK
dc.contributor.authorSandhu, Fen_HK
dc.contributor.authorSamartzis, Den_HK
dc.contributor.authorFessler, RGen_HK
dc.date.accessioned2010-09-22T05:03:02Z-
dc.date.available2010-09-22T05:03:02Z-
dc.date.issued2004en_HK
dc.identifier.citationJournal Of Neurosurgery, 2004, v. 101 n. 1 SUPPL., p. 58-63en_HK
dc.identifier.issn0022-3085en_HK
dc.identifier.urihttp://hdl.handle.net/10722/92895-
dc.description.abstractObject. Various approaches exist for the treatment of thoracic disc herniation. Anterior approaches facilitate ventral exposure but place the intrathoracic contents at risk. Posterolateral approaches require extensive muscle dissection that adds to the risk of postoperative morbidity. The authors have developed a novel posterolateral, minimally invasive thoracic microendoscopic discectomy (TMED) technique that provides an approach to the thoracic spine which is associated with less morbidity. Methods. Seven patients 23 to 54 years old with nine disc herniations underwent TMED. All lesions were soft lateral or midline thoracic disc herniations. Under fluoroscopic guidance with the patient positioned prone, the authors used a muscle dilation approach and the procedure was performed with endoscopic visualization through a tubular retractor. Based on a modified Prolo Scale, five patients experienced excellent results, one good, and one fair. No case required conversion to an open procedure. The mean operative time was 1.7 hours per level, and estimated blood loss was 111 ml per level. Hospital stays were short, and no complications occurred. Conclusions. The TMED is safe, effective, and provides a minimally invasive posterolateral alternative for treatment of thoracic disc herniation without the morbidity associated with traditional approaches.en_HK
dc.languageengen_HK
dc.publisherAmerican Association of Neurological Surgeons. The Journal's web site is located at http://www.thejns-net.orgen_HK
dc.relation.ispartofJournal of Neurosurgeryen_HK
dc.subjectDiscectomyen_HK
dc.subjectIntervertebral discen_HK
dc.subjectNficroendoscopic discectomyen_HK
dc.subjectThoracic spineen_HK
dc.titleThoracic microendoscopic discectomyen_HK
dc.typeArticleen_HK
dc.identifier.emailSamartzis, D:dspine@hku.hken_HK
dc.identifier.authoritySamartzis, D=rp01430en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-4143050104en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-4143050104&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume101en_HK
dc.identifier.issue1 SUPPL.en_HK
dc.identifier.spage58en_HK
dc.identifier.epage63en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridPerezCruet, MJ=6603355445en_HK
dc.identifier.scopusauthoridKim, BS=16026282100en_HK
dc.identifier.scopusauthoridSandhu, F=6603595924en_HK
dc.identifier.scopusauthoridSamartzis, D=34572771100en_HK
dc.identifier.scopusauthoridFessler, RG=7005640859en_HK

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