Neurosurgery Department, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Br J Neurosurg. 2024 Aug;38(4):995-997. doi: 10.1080/02688697.2021.2006142. Epub 2021 Nov 24.
Thoracic disc herniation (TDH) is a rare occurrence comprising of only 0.25-0.75% of all herniated discs in any region. Limitations in direct visualization remains a surgical challenge for complete and safe resection of TDH. In this case report, we describe the use of a 3D intraoperative imaging system (O-arm system ) coupled with percutaneous pedicle markers placed under fluoroscopic guidance to circumvent the current limitations in visualisation for a patient with a giant calcified TDH using an anterolateral approach. There was an improvement in overall visualisation and ease of procedure, leading to a successful surgery. Post-op, there was a significant improvement in the motor power of the patient.
胸椎间盘突出症（TDH）较为罕见，仅占所有区域椎间盘突出症的 0.25-0.75%。直接可视化的局限性仍然是完全和安全切除 TDH 的手术挑战。在本病例报告中，我们描述了使用 3D 术中成像系统（O 臂系统）结合经皮椎弓根标记在透视引导下放置来规避当前在可视化方面的局限性，为一名使用前路入路的巨大钙化 TDH 患者进行手术。整体可视化和手术操作的便利性得到了改善，从而成功完成了手术。术后，患者的运动功能显著改善。
