Division of Neurosurgery, Santa Maria Delle Grazie Hospital, AslNa2Nord, Via Domiziana 1, Località La Schiana, 80078, Pozzuoli, Naples, Italy.
Acta Neurochir (Wien). 2024 Oct 5;166(1):396. doi: 10.1007/s00701-024-06278-6.
Thoracic disc herniation is a rare degenerative spine disease that can cause severe neurological deficits. Nowadays, controversies still stand on the most effective surgical route.
Herein, we describe the combined intra-extradural approach for a posterolateral thoracic disk herniation. We divided the technique into four steps: bony, extradural, intradural and intra-extradural. We disclose perioperative shrewdness aimed at improving outcomes and reducing complications.
The combined intra-extradural approach represents an effective technique for posterolateral thoracic disk herniations, reducing both the risk of spinal cord damages and post-operative CSF leaks.
胸椎间盘突出症是一种罕见的退行性脊柱疾病，可导致严重的神经功能缺损。如今，对于最有效的手术入路仍存在争议。
在此，我们描述了一种用于胸椎间盘旁侧突出症的联合硬脊膜内外入路。我们将技术分为四个步骤：骨、硬脊膜外、硬脊膜内和硬脊膜内外。我们揭示了旨在改善结果和减少并发症的围手术期策略。
联合硬脊膜内外入路是治疗胸椎间盘旁侧突出症的有效方法，可降低脊髓损伤和术后脑脊液漏的风险。
