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Eur Spine J. 2012 Dec;21(12):2620-5. doi: 10.1007/s00586-012-2438-1. Epub 2012 Jul 24.

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

Author information

1
Department of Neurosurgery, Wooridul Spine Hospital, 47-4 Chungdam-dong, Gangnam-gu, Seoul 135-100, Korea.

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.

PMID:
22825631
PMCID:
PMC3508237
DOI:
10.1007/s00586-012-2438-1
[Indexed for MEDLINE]
Free PMC Article

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