Posterior Transdural Discectomy for Thoracic Disc Herniation.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY Turkish neurosurgery Pub Date : 2023-01-01 DOI:10.5137/1019-5149.JTN.42015-22.4

Seref Dogan, Mevlut Ozgur Taskapilioglu, Pinar Eser, Rabia Nur Balcin

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Abstract

Aim: To evaluate the safety and efficacy of posterior transdural discectomy for thoracic disc herniation.

Material and methods: The medical records of seven patients who underwent posterior transdural discectomy for thoracic disc herniation were retrospectively evaluated.

Results: Between 2012 and 2020, seven patients (five men and two women) who were aged between 17 and 74 years underwent posterior transdural discectomy. Numbness is the most common presenting symptom, and two patients complained of urinary incontinence. T10-11 was the most affected level. All patients underwent at least 6 months of follow-up. There were no postoperative cerebrospinal fluid leaks and neurological complications postoperatively. All patients maintained their baseline neurological status or improved after surgery. No patient had secondary neurological deterioration or need for further surgical treatment.

Conclusion: The posterior transdural approach is a safe procedure that should be considered in lateral and paracentral thoracic disc herniations providing a more direct surgical intervention.

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后经硬膜椎间盘切除术治疗胸椎间盘突出症。

目的:评价经硬膜后椎间盘切除术治疗胸椎间盘突出症的安全性和有效性。材料与方法:回顾性分析7例经硬膜后椎间盘切除术治疗胸椎间盘突出症的病例。结果:在2012年至2020年期间，7名患者(5男2女)，年龄在17至74岁之间，接受了后经硬膜椎间盘切除术。麻木是最常见的症状，两名患者主诉尿失禁。T10-11是受影响最严重的级别。所有患者均接受了至少6个月的随访。术后无脑脊液漏及术后神经系统并发症。所有患者术后均维持基线神经状态或有所改善。没有患者出现继发性神经系统恶化或需要进一步手术治疗。结论:后路经硬脊膜入路是一种安全的手术方法，可用于治疗外侧和中央旁胸椎间盘突出症，提供更直接的手术干预。

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来源期刊

Turkish neurosurgery 医学-临床神经学

CiteScore

1.50

自引率

12.50%

发文量

126

审稿时长

2 months

期刊介绍： Turkish Neurosurgery is a peer-reviewed, multidisciplinary, open access and totally free journal directed at an audience of neurosurgery physicians and scientists. The official language of the journal is English. The journal publishes original articles in the form of clinical and basic research. Turkish Neurosurgery will only publish studies that have institutional review board (IRB) approval and have strictly observed an acceptable follow-up period. With the exception of reference presentation, Turkish Neurosurgery requires that all manuscripts be prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.