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European Spine Journal

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01-12-2012 | Original Article

Oblique paraspinal approach for thoracic disc herniations using tubular retractor with robotic holder: a technical note

Authors: Ji Young Cho, Sang-Ho Lee, Sang Hoon Jang, Ho-Yeon Lee

Published in: European Spine Journal | Issue 12/2012

Abstract

Introduction

Symptomatic thoracic disc herniations (TDHs) are uncommon and can be surgically treated. Although transthoracic decompression is considered the gold standard, it is associated with significant comorbidities. In particular, approach via a posterior laminectomy has been associated with poor results. Several strategies have been developed for the resection of TDHs without manipulating the spinal cord. We describe a minimally invasive technique by using 3-D navigation and tubular retractors with the aid of a robotic holder via an oblique paraspinal approach.

Materials and Methods

The 20-mm working tube via an oblique trajectory through the fascia provides a good surgical field for thoracic discectomy through a microscope. We present our first five patients with TDHs operated using this minimally invasive approach.

Results

Neurological symptoms were improved postoperatively, and there were no surgical complications. There was no instability or recurrence during the follow-up period.

Conclusion

The oblique paraspinal approach may offer an alternative surgical option for treating TDHs.

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Title: Oblique paraspinal approach for thoracic disc herniations using tubular retractor with robotic holder: a technical note
Authors: Ji Young Cho
Sang-Ho Lee
Sang Hoon Jang
Ho-Yeon Lee
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: European Spine Journal / Issue 12/2012
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-012-2438-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Oblique paraspinal approach for thoracic disc herniations using tubular retractor with robotic holder: a technical note

Abstract

Introduction

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and Methods

Results

Conclusion

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