Endoscopic Transforaminal Thoracic Decompression for Removal of a Giant Calcified Thoracic Disc Herniation

To demonstrate the preoperative workup, surgical planning and execution of transforaminal endoscopic thoracic discectomy (TETD) for a giant calcified disc herniation. Surgeries for symptomatic thoracic disc herniations are rare and challenging. The main goal is to achieve sufficient decompression wi...

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Main Authors: Mazda Farshad, Christoph Johannes Laux, Lukas Zingg, Florian Wanivenhaus
Format: Article
Language:English
Published: Korean Spinal Neurosurgery Society 2024-12-01
Series:Neurospine
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Online Access:http://e-neurospine.org/upload/pdf/ns-2449064-532.pdf
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author Mazda Farshad
Christoph Johannes Laux
Lukas Zingg
Florian Wanivenhaus
author_facet Mazda Farshad
Christoph Johannes Laux
Lukas Zingg
Florian Wanivenhaus
author_sort Mazda Farshad
collection DOAJ
description To demonstrate the preoperative workup, surgical planning and execution of transforaminal endoscopic thoracic discectomy (TETD) for a giant calcified disc herniation. Surgeries for symptomatic thoracic disc herniations are rare and challenging. The main goal is to achieve sufficient decompression with minimal manipulation of the spinal cord. Conventional surgical techniques may have significant approach-related morbidities and often require additional stabilization. The full endoscopic transforaminal technique is the least invasive approach so far. A 73-year-old female patient with progressive gait disturbance and paraparesis received radiological imaging which revealed a giant calcified thoracic disc herniation at the level T11–12. The preoperative workup, planning and execution of TETD is demonstrated in detail. This report represents a typical educational case of a giant calcified thoracic disc herniation, treated by TETD.
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publishDate 2024-12-01
publisher Korean Spinal Neurosurgery Society
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spelling doaj-art-e0bf4cf4f57e45fdb8bded6ca0920da42025-08-20T01:55:03ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912024-12-012141116111810.14245/ns.2449064.5321648Endoscopic Transforaminal Thoracic Decompression for Removal of a Giant Calcified Thoracic Disc HerniationMazda Farshad0Christoph Johannes Laux1Lukas Zingg2Florian Wanivenhaus3 University Spine Center Zurich, Balgrist University Hospital, University of Zurich, Zurich, Switzerland University Spine Center Zurich, Balgrist University Hospital, University of Zurich, Zurich, Switzerland University Spine Center Zurich, Balgrist University Hospital, University of Zurich, Zurich, Switzerland University Spine Center Zurich, Balgrist University Hospital, University of Zurich, Zurich, SwitzerlandTo demonstrate the preoperative workup, surgical planning and execution of transforaminal endoscopic thoracic discectomy (TETD) for a giant calcified disc herniation. Surgeries for symptomatic thoracic disc herniations are rare and challenging. The main goal is to achieve sufficient decompression with minimal manipulation of the spinal cord. Conventional surgical techniques may have significant approach-related morbidities and often require additional stabilization. The full endoscopic transforaminal technique is the least invasive approach so far. A 73-year-old female patient with progressive gait disturbance and paraparesis received radiological imaging which revealed a giant calcified thoracic disc herniation at the level T11–12. The preoperative workup, planning and execution of TETD is demonstrated in detail. This report represents a typical educational case of a giant calcified thoracic disc herniation, treated by TETD.http://e-neurospine.org/upload/pdf/ns-2449064-532.pdfendoscopyintervertebral disc herniationendoscopesthoracic nerves
spellingShingle Mazda Farshad
Christoph Johannes Laux
Lukas Zingg
Florian Wanivenhaus
Endoscopic Transforaminal Thoracic Decompression for Removal of a Giant Calcified Thoracic Disc Herniation
Neurospine
endoscopy
intervertebral disc herniation
endoscopes
thoracic nerves
title Endoscopic Transforaminal Thoracic Decompression for Removal of a Giant Calcified Thoracic Disc Herniation
title_full Endoscopic Transforaminal Thoracic Decompression for Removal of a Giant Calcified Thoracic Disc Herniation
title_fullStr Endoscopic Transforaminal Thoracic Decompression for Removal of a Giant Calcified Thoracic Disc Herniation
title_full_unstemmed Endoscopic Transforaminal Thoracic Decompression for Removal of a Giant Calcified Thoracic Disc Herniation
title_short Endoscopic Transforaminal Thoracic Decompression for Removal of a Giant Calcified Thoracic Disc Herniation
title_sort endoscopic transforaminal thoracic decompression for removal of a giant calcified thoracic disc herniation
topic endoscopy
intervertebral disc herniation
endoscopes
thoracic nerves
url http://e-neurospine.org/upload/pdf/ns-2449064-532.pdf
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AT lukaszingg endoscopictransforaminalthoracicdecompressionforremovalofagiantcalcifiedthoracicdischerniation
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