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World Neurosurg. 2016 Jun;90:194-198. doi: 10.1016/j.wneu.2016.02.086. Epub 2016 Feb 28.

Transforaminal Endoscopic Foraminoplasty and Discectomy for the Treatment of a Thoracic Disc Herniation.

Author information

1
Ligamenta Spine Centre, Frankfurt am Main, Germany.
2
Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA. Electronic address: atelfeian@lifespan.org.
3
Spine Clinic Iprenburg, Veenhuizen, the Netherlands.
4
Orthopädische Praxis Waltershausen, Friedrichroda, Germany.
5
Department of Neurosurgery, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Abstract

Transforaminal endoscopic spine surgery has emerged internationally as a minimally invasive technique that can be performed in an awake patient in the outpatient setting. Advances in high-definition endoscopic camera technologies as well as the availability of specialty graspers, reamers, drills, and other instruments that can be used down a working channel endoscope have made a myriad of spine diseases accessible to the minimally invasive spine surgeon. The major challenge inherent in the surgical treatment of thoracic disc disease is that the disc herniation is often ventral to the spinal cord. The transforaminal approach and the angled endoscopic camera are an ideal combination for creating a technical advantage to accessing thoracic disc disease.

KEYWORDS:

Discectomy; Minimally invasive; Thoracic disc; Transforaminal

PMID:
26931541
DOI:
10.1016/j.wneu.2016.02.086
[Indexed for MEDLINE]

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