What is Transpedicular discectomy?

Apart from the open soft tissue exposure, transpedicular bone decompression and discectomy is performed in essentially identical fashion to the minimally invasive technique we describe here (the hemilamina, facet complex, and pedicle inferior to the disc space are removed with a high-speed drill, and discectomy is …

What is a Transpedicular approach?

Methods: Modified transpedicular approach includes drilling the pedicle for removal of retropulsed bone fragment under surgical microscope without damaging the anatomic continuity of posterior column.

What is a thoracic discectomy?

Minimally invasive, or mini-open, lateral thoracic discectomy is a procedure in which an intervertebral disc is surgically removed from the thoracic region of the spinal column, or the mid-back. Intervertebral discs separate the bones of the spine, called vertebrae. They also act as shock absorbers and enable movement.

How is a discectomy performed?

With the aid of a fluoroscope (a special X-ray), the surgeon passes a thin needle through the skin down to the bone to locate the affected vertebra and disc. In an open discectomy, a skin incision is made down the middle of your back over the affected vertebrae (Fig. 2).

What is Costotransversectomy?

A costotransversectomy is a procedure used in corpectomy and fusion procedures, as well as in many other spinal surgeries. It is used to remove a portion of rib, as well as the transverse process of a vertebra, allowing an anterior spinal surgery to be performed, rather than a posterior procedure.

What is a spine fixation device?

Spinal fixation devices provide stability and restore anatomic alignment in the treatment of fractures, degenerative disease, infection, and tumors and correct congenital deformities such as those seen in scoliosis. Plates and rods are attached to the vertebral body or posterior elements with wire, screws, and hooks.

What is a Costovertebral approach?

: of or relating to a rib and its adjoining vertebra costovertebral approach in an operation for herniated intervertebral disk costovertebral pain.

Do thoracic disc herniations ever heal?

Most thoracic herniated discs heal on their own or with nonsurgical treatment, but in some cases of myelopathy or intolerable pain, surgery may be recommended.

How successful is thoracic spine surgery?

Review of 241 thorascopic procedures showed a success rate of 98% to 100%, low morbidity, and favorable complication profile.

How long will a discectomy last?

Microscopic discectomy was performed on 3,400 (18.7%) patients with a mean follow-up of 4.1 years. Good/excellent results occurred in 32,917 (84.3%) patients (table 3).

Is discectomy major surgery?

The First 24 Hours. Even though microdiscectomy recovery times are generally much faster than more invasive spinal surgeries, they’re still major procedures that involve general anesthetic. As such, they require careful oversight prior to medical personnel releasing you to return home.

What is corpectomy surgery?

Cervical corpectomy is a surgical procedure performed to remove one or more vertebrae (bones) in the cervical spine (neck). A corpectomy involves removing the front part of the vertebra, the vertebral body. The portion of bone that surrounds and protects the spinal cord is preserved.

When to use transpedicular decompression in spinal fusion?

Transpedicular decompression was first described in 1978 and has been used for the excision of herniated thoracic disks primarily. This procedure is particularly useful when ventral spinal cord compression is significant and decompressive laminectomy is thought to be inadequate.

Can a decompression discectomy be performed as an open surgery?

Decompression Discectomy A discectomy is a surgery performed to relieve nerve-root compression that is caused by a herniated disc. It can be performed as open surgery or as a minimally invasive procedure. A new type of minimally invasive procedure, known as a decompression discectomy, has proven highly successful.

How is decompression of the thoracic spinal canal performed?

This procedure is performed to decompress the thoracic spinal canal and increase the space available for the spinal cord and exiting nerve roots. It is performed via a posterior approach, which also provides access for thoracic instrumentation and fusion, and is the ideal access method for intradural lesions.

How is a percutaneous disc removal procedure performed?

This procedure, also known as percutaneous discectomy, is performed using a Stryker Dekompressor® disc-removal system, which can be used effectively in discectomies performed on any spinal region: cervical, thoracic or lumbar. Discs are the cushions between the vertebrae of the spine.