Transforaminal Percutaneous Endoscopic Thoracic Discectomy for Herniated disc - A technical note
Joint Event on 3rd International Conference on Spine and Spine Disorders & International Conference on Addiction Research and Therapy
November 26-27, 2018 | Dubai, UAE
Pohang Wooridul Hospital, South Korea
Posters & Accepted Abstracts : J Neurol Neurorehabil Res
Background: Symptomatic Thoracic Disc Herniations (TDH)
are rare in comparison with either Cervical or Lumbar Disc
Herniations with the incidence of 0.3 to 1% or 1 in 1,000,000.
Surgical management is indicated for patients with neurological
deficit and unremitting girdle or leg pain. Various surgical
techniques for TDH have been previously described. However,
these techniques have higher morbidity and require general
anesthesia. Transforaminal Percutaneous Endoscopic Thoracic
Discectomy (PETD) has the advantages of minimal soft tissue
trauma, use of local anesthesia and enhancement of postoperative
outcomes. However, due to anatomical restraints
in the thoracic transforaminal region a Foraminoplasty is
necessary. Endoscopic neurodrill or a side firing Ho: YAG laser is
usually used for this purpose which is cumbersome.
Purpose: The purpose of this study is to introduce a new technique of thoracic Foraminoplasty for the ease of PETD procedure in soft and hard TDH with the use of manual bone drills over a guide wire to do
Study design: This is a prospective case series of 10 patients from January 2017 to May 2018. This study is a technical note on use of manual bone drills for Foraminotomy in PETD for management of TDH. Consecutive patients during this period with symptomatic Thoracic Disc Herniation (8 soft and 2 hard discs) were included in this study. Diagnosis was established based on MRI, symptoms and clinical examination. All patients were counselled about the PETD procedure and had given written consent for the same. All patients were operated by a single surgeon.