Thoracic disc herniation surgery

see Thoracic discectomy.

Intraoperative SSEPs and MEPs may be helpful for patients with myelopathy. For a laterally located herniated noncalcified thoracic disc posterolateral approach with medial facetectomy is technically simple, and has generally good results. For a central disc herniation, or when myelopathy is present: transthoracic approach has the lowest incidence of cord injury with the best operative results

Thoracic disc herniation requiring surgery are rare 1)

Indications: refractory pain (usually radicular, bandlike) or progressive myelopathy. Uncommon: symptomatic syringomyelia originating at level of disc herniation.

see Thoracic spine approaches.

Experience in the surgical management of 82 symptomatic herniated thoracic discs and review of the literature. J Neurosurg. 1998; 88:623–633
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