Turkish Neurosurgery
Posterior transdural discectomy for thoracic disc herniation
Şeref Doğan1, Mevlüt Özgür Taşkapılıoğlu1, Pınar Eser1, Rabia Nur Balçın1
1Uludag University School of Medicine, Neurosurgery, Bursa,
DOI: 10.5137/1019-5149.JTN.42015-22.4
Aim:Thoracic disc herniation is a challenging condition with severe neurological sequelae. Surgical management is still a matter of debate.Material and Methods:Medical records of seven patients who underwent a posterior transdural discectomy for thoracic disc herniation was retrospectively evaluated.Results:Between years 2012 and 2020, 7 patients (5 male and 2 female) with age ranged between 17 and 74 were operated with posterior transdural discectomy Numbness is the most common presenting symptom and 2 patients were complaint with urinary incontinance. T10-11 was the most effected level. All the patients underwent at least 6 months follow-up. There were no postoperative CSF leak and neurological complications due to the surgery. All the patients were remained at their baseline neurological status or improved after surgery. None of the patients experienced a secondary neurological deterioration or a need for further surgical treatment.Conclusion:The posterior transdural approach is a safe procedure that should be kept in mind in lateral and paracentral thoracic disc herniations providing a more direct approach.
Corresponding author : Mevlüt Özgür Taşkapılıoğlu