胸椎后外侧椎间盘突出症的硬膜外腔内联合方法：我是怎么做的。

IF 1.9 3区医学 Q3 CLINICAL NEUROLOGY

Acta Neurochirurgica Pub Date : 2024-10-05 DOI:10.1007/s00701-024-06278-6

Ciro Mastantuoni, Maria Rosaria Scala, Raffaele de Falco, Antonio Bocchetti

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引用次数: 0

摘要

背景：胸椎间盘突出症是一种罕见的脊柱退行性疾病，可导致严重的神经功能障碍。如今，关于最有效的手术路径仍存在争议：在此，我们介绍了胸椎后外侧椎间盘突出症的硬膜外腔内联合手术方法。我们将该技术分为四个步骤：骨性、硬膜外、硬膜内和硬膜外内。我们披露了围手术期的精明之处，旨在提高疗效和减少并发症：结论：硬膜外内联合方法是治疗胸椎后外侧椎间盘突出症的有效技术，可降低脊髓损伤和术后 CSF 渗漏的风险。

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Combined intra-extradural approach for posterolateral thoracic disk herniations: how I do it

Background

Thoracic disc herniation is a rare degenerative spine disease that can cause severe neurological deficits. Nowadays, controversies still stand on the most effective surgical route.

Method

Herein, we describe the combined intra-extradural approach for a posterolateral thoracic disk herniation. We divided the technique into four steps: bony, extradural, intradural and intra-extradural. We disclose perioperative shrewdness aimed at improving outcomes and reducing complications.

Conclusion

The combined intra-extradural approach represents an effective technique for posterolateral thoracic disk herniations, reducing both the risk of spinal cord damages and post-operative CSF leaks.

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来源期刊

Acta Neurochirurgica 医学-临床神经学

CiteScore

4.40

自引率

4.20%

发文量

342

审稿时长

1 months

期刊介绍： The journal "Acta Neurochirurgica" publishes only original papers useful both to research and clinical work. Papers should deal with clinical neurosurgery - diagnosis and diagnostic techniques, operative surgery and results, postoperative treatment - or with research work in neuroscience if the underlying questions or the results are of neurosurgical interest. Reports on congresses are given in brief accounts. As official organ of the European Association of Neurosurgical Societies the journal publishes all announcements of the E.A.N.S. and reports on the activities of its member societies. Only contributions written in English will be accepted.