Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 2910 North 3rd Avenue, Phoenix, AZ 85013, USA.
Division of Spinal Disorders, Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, 2910 North 3rd Avenue, Phoenix, AZ 85013, USA.
Neurosurg Clin N Am. 2020 Jan;31(1):43-48. doi: 10.1016/j.nec.2019.08.005. Epub 2019 Oct 11.
The lateral retropleural thoracic approach offers minimally invasive access for the treatment of thoracic spine pathology, specifically thoracic herniated discs. Alternatives to the retropleural approach traditionally included posterolateral or anterior approaches, which carry increased morbidity. The retropleural approach affords lateral access to the thoracic spine that allows for addressing pathology such as herniated discs, corpectomy, tumor, or trauma. This article outlines preoperative workup and planning, intraoperative steps, tips, and postoperative care.
侧后路经胸腔入路为治疗胸椎病变（尤其是胸椎间盘突出症）提供了微创入路。传统的经胸腔入路的替代方法包括后外侧或前路入路，但这些方法的发病率更高。经胸腔入路为胸椎提供了侧方入路，可用于治疗椎间盘突出症、椎体切除术、肿瘤或创伤等病变。本文概述了术前检查和计划、手术步骤、技巧和术后护理。
