Türk Nöroşirürji Dergisi 2009 , Vol 19 , Num 3
The Mini-open Transpedicular Discectomy
Tahsin ERMAN, Derviş Mansuri YILMAZ
Çukurova Üniversitesi, Tıp Fakültesi, Nöroşirürji Anabilim Dalı, Adana, Türkiye Symptomatic thoracic disc herniations are rare in the general population. Thoracic disc herniations can be surgically treated if caused significant radicular pain and severe, progressive myelopathy with a number of different open techniques and approaches. Unfortunately, to obtain adequate visualization and working space, these approaches require extensive tissue and muscle dissection in excess of the actual area of surgical interest. Recent technical advances that minimize surgical approaches have become popular in the treatment of spinal disorders especially in the lumbar spine, but little data has been published regarding such approaches (thoracoscopic techniques, minimally invasive tubular approaches) in the thoracic spine. Thoracoscopic techniques have also been pioneered, but require a steep learning curve. The mini-open transpedicular discectomy can be used to treatment of appropriate thoracic disc herniations without require a step learning curve. This technique do not use for midline, large, adherent to and erode the dura, calcified herniated discs causing obliteration of the spinal canal like as open transpedicular discectomy. This technique provides a safe method to perform thoracic discectomy with minimal paraspinal soft tissue disruption and less blood loss during surgery. Anahtar Kelimeler : Minimally invasive surgery, Thoracic disc, Transpedicular discectomy