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Acta Neurochirurgica

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01-09-2020 | Disc Herniation | How I Do it - Spine degenerative

How I do it: posterior transdural approach for central soft thoracic disk herniation

Authors: Carlo Mandelli, Alfio Spina, Francesco Calvanese, Pietro Mortini

Published in: Acta Neurochirurgica | Issue 9/2020

Abstract

Background

Thoracic disc herniation (TDH) is a rare condition with severe neurological sequelae. Surgical management is still a matter of debate and challenging.

Method

We present a modification of the transdural approach for TDH. The approach has been described in a stepwise fashion, analysing pre-, peri-, and postoperative strategies to improve patients’ management and reduce approach-related morbidity.

Conclusion

The modified posterior transdural approach represents an effective technique for TDH, minimizing the risk of spinal cord damages, which can dramatically affect the outcome.

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Coppes MH, Bakker NA, Metzemaekers JD, Groen RJ (2012) Posterior transdural discectomy: a new approach for the removal of a central thoracic disc herniation. Eur Spine J 21:623–628. https://doi.org/10.1007/s00586-011-1990-4 CrossRefPubMed

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Title: How I do it: posterior transdural approach for central soft thoracic disk herniation
Authors: Carlo Mandelli
Alfio Spina
Francesco Calvanese
Pietro Mortini
Publication date: 01-09-2020
Publisher: Springer Vienna
Keyword: Disc Herniation
Published in: Acta Neurochirurgica / Issue 9/2020
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-020-04387-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

How I do it: posterior transdural approach for central soft thoracic disk herniation

Abstract

Background

Method

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Method

Conclusion

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