Fernández Roque Carlos, Mesa Miguel, Rosenthal Daniel, Rodrigo Paradells Victor
Department of Neurosurgery, Hochtaunus Kliniken, Bad Homburg vor der Höhe, Germany.
Department of Thoracic Surgery, Clinica Universidad de Navarra, Pamplona, Spain; and.
Neurosurg Focus Video. 2022 Jul 1;7(1):V3. doi: 10.3171/2022.3.FOCVID221. eCollection 2022 Jul.
Thoracic disc herniation is one of the most therapeutically challenging spine conditions. A myriad of surgical approaches have been described in the literature, including posterior, anterior, and combined techniques. However, transthoracic and retropleural approaches are currently deemed the most effective techniques to successfully obtain anterior decompression. Herein the authors describe a 65-year-old female patient who underwent a transthoracic endoscopic approach to remove a calcified herniated thoracic disc that caused spinal cord compression. Despite having a long learning curve, the surgical technique described herein can be even used in patients with complex and calcified thoracic disc herniations. The video can be found here: https://stream.cadmore.media/r10.3171/2022.3.FOCVID221.
胸椎间盘突出症是治疗难度最大的脊柱疾病之一。文献中描述了无数种手术方法，包括后路、前路和联合技术。然而，经胸和经胸膜后入路目前被认为是成功实现前路减压的最有效技术。在此，作者描述了一名65岁女性患者，她接受了经胸内镜手术，以切除导致脊髓受压的钙化胸椎间盘突出。尽管学习曲线较长，但本文所述的手术技术甚至可用于患有复杂钙化胸椎间盘突出症的患者。视频可在此处找到：https://stream.cadmore.media/r10.3171/2022.3.FOCVID221 。
