Skip to main content
SpringerLink
Log in

Indications of Thoracic Spinal Endoscopy: Background of Thoracic Disc Herniation and Endoscopic Treatment

  • Chapter
  • First Online:
Endoscopic Procedures on the Spine

  • 821 Accesses

Abstract

Thoracic disc herniations are the least common of all disc herniations, and therefore comprise the smallest percentage of discectomy surgeries. Commonly described thoracic discectomy techniques have well-known complications including new neurologic deficit, need for instrumented stabilization, pulmonary related morbidity, or wound complications. Some of these complications are reduced with the use of minimally invasive methods. The thoracic microendoscopic discectomy offers the advantage of minimal tissue dissection and removal, good visualization of the disc space, and an angle of approach that eliminates the need to retract the spinal cord. This technique maximizes disc removal while minimizing risk.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Choi KY, Eun SS, Lee HY. Percutaneous endoscopic thoracic discectomy; Transforaminal approach. Minim Invasive Neurosurg. 2010;53:25–8.

    CAS  PubMed  Google Scholar 

  2. Baker JK, Reardon PR, Reardon MJ, et al. Vascular injury in anterior lumbar spine surgery. Spine. 1993;18:2227–30.

    CAS  PubMed  Google Scholar 

  3. Lesoin F, Rousseaux M, Autricque A, et al. Thoracic disc herniations: evolution in the approach and indications. Acta Neurochir. 1986;80:30–4.

    CAS  PubMed  Google Scholar 

  4. Rosenthal D, Rosenthal R, de Simone A. Removal of a protruded thoracic disc using microsurgical endoscopy: a new technique. Spine. 1994;19:1087–91.

    CAS  PubMed  Google Scholar 

  5. Kambin P, Gellman H. Percutaneous lateral discectomy of the lumbar spine. Clin Orthop. 1983;174:172–32.

    Google Scholar 

  6. Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation: surgical technique, outcome, and complications in 307 consecutive cases. Spine. 2002;27:722–31.

    PubMed  Google Scholar 

  7. Shin SH, Hwang BW, Keum HJ, et al. Epidural steroids after a percutaneous endoscopic lumbar discectomy. Spine. 2015;40:859–65.

    Google Scholar 

  8. Ahn Y, Lee SH, Park WM, et al. Percutaneous endoscopic lumbar discectomy for recurrent disc herniation: surgical technique, outcome, and prognostic factors of 43 consecutive cases. Spine. 2004;29:E326–32.

    PubMed  Google Scholar 

  9. Birkenmaier C, Komp M, Leu HF, et al. The current state of endoscopic disc surgery: review of controlled studies comparing full-endoscopic procedures for disc herniations to standard procedures. Pain Physician. 2013;16:335–44.

    PubMed  Google Scholar 

  10. Arce CA, Dohrmann G. Herniated thoracic disks. Neurol Clin. 1985;3:383–92.

    CAS  PubMed  Google Scholar 

  11. Awwad EE, Martin DS, Smith KR Jr, et al. Asymptomatic versus symptomatic herniated thoracic discs: Their frequency and characteristics as detected by computed tomography after myelography. Neurosurgery. 1991;28:180–6.

    CAS  PubMed  Google Scholar 

  12. Fardon DF, Williams AL, Dohring EJ, et al. Lumbar disc nomenclature: version 2.0. Spine. 2014;4:1448–65.

    Google Scholar 

  13. Ruetten S, Komp M, Merk H, et al. Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study. Spine. 2008;33:931–9.

    PubMed  Google Scholar 

  14. Videman T, Battie MC, Gill K, et al. Magnetic resonance imaging findings and their relationships in the thoracic and lumbar spine: insights into the etiopathogenesis of spinal degeneration. Spine. 1995;20:928–35.

    CAS  PubMed  Google Scholar 

  15. Patterson RH Jr, Arbit E. A surgical approach through the pedicle to protruded thoracic discs. J Neurosurg. 1978;48:768–72.

    PubMed  Google Scholar 

  16. Epstein NE, Syrquin MS, Epstein JA, et al. Intradural disc herniations in the cervical, thoracic, and lumbar spine: report of three cases and review of the literature. J Spinal Disord. 1990;3:396–403.

    CAS  PubMed  Google Scholar 

  17. Bohlman HH, Zdeblick TA. Anterior excision of herniated thoracic discs. J Bone Joint Surg Am. 1988;70:1038–47.

    CAS  PubMed  Google Scholar 

  18. Ross JS, Perez-Reyes N, Masaryk TJ, et al. Thoracic disc herniation: MR imaging. Radiology. 1987;165:511–5.

    CAS  PubMed  Google Scholar 

  19. Mack MJ, Regan JJ, Bobechko WP, et al. Application of thoracoscopy for diseases of the spine. Ann Thorac Surg. 1993;56:736–8.

    CAS  PubMed  Google Scholar 

  20. McAfee PC, Regan JJ, Zdeblick T, et al. The incidence of complications in endoscopic anterior thoracolumbar spinal reconstructive surgery: a prospective multicenter study comprising the first 100 consecutive cases. Spine. 1995;14:1624–32.

    Google Scholar 

  21. Regan JJ. Percutaneous endoscopic thoracic discectomy. Neurosurg Clin North Am. 1996;7:87–98.

    CAS  Google Scholar 

  22. Khoo LT, Beisse R, Potulski M, et al. Thoracoscopic-assisted treatment of thoracic and lumbar fractures: a series of 371 consecutive cases. Neurosurgery. 2002;51:104–17.

    Google Scholar 

  23. Newton PO, Shea KH, Grandlund KF. Defining the pediatric spinal thoracoscopy learning curve: sixty-five consecutive cases. Spine. 2000;25:1028–35.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Wooridul Spine Hospital, Korea, South Korea

    Sang Ha Shin

Authors
  1. Sang Ha Shin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sang Ha Shin .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Seoul St Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seocho gu, Seoul, Korea (Republic of)

    Jin-Sung Kim

  2. Department of Neurosurgery, Kyung Hee University Medical Center, Seoul, Korea (Republic of)

    Jun Ho Lee

  3. Department of Neurosurgery, Gachon University Gil Medical Center, Incheon, Korea (Republic of)

    Yong Ahn

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Shin, S.H. (2020). Indications of Thoracic Spinal Endoscopy: Background of Thoracic Disc Herniation and Endoscopic Treatment. In: Kim, JS., Lee, J., Ahn, Y. (eds) Endoscopic Procedures on the Spine. Springer, Singapore. https://doi.org/10.1007/978-981-10-3905-8_8

Download citation

  • DOI: https://doi.org/10.1007/978-981-10-3905-8_8

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-3904-1

  • Online ISBN: 978-981-10-3905-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation