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dc.contributor.authorPekmezci, Murat
dc.contributor.authorUlu, Mustafa Onur
dc.contributor.authorDeviren, Vedat
dc.contributor.authorNacar, Osman Arikan
dc.date.accessioned2021-03-04T15:06:06Z
dc.date.available2021-03-04T15:06:06Z
dc.date.issued2013
dc.identifier.citationNacar O. A. , Ulu M. O. , Pekmezci M., Deviren V., "Surgical treatment of thoracic disc disease via minimally invasive lateral transthoracic trans/retropleural approach: analysis of 33 patients", NEUROSURGICAL REVIEW, cilt.36, sa.3, ss.455-465, 2013
dc.identifier.issn0344-5607
dc.identifier.otherav_84fb31bf-0dc4-4eca-bff8-f02c36d72bfc
dc.identifier.othervv_1032021
dc.identifier.urihttp://hdl.handle.net/20.500.12627/90442
dc.identifier.urihttps://doi.org/10.1007/s10143-013-0461-2
dc.description.abstractThoracic disc herniations are associated with serious neurological consequences if not treated appropriately. Although a number of techniques have been described, there is no consensus about the best surgical approach. In this study, the authors report their experience in the operative management of patients with thoracic disc herniations using minimally invasive lateral transthoracic trans/retropleural approach. A series of 33 consecutive patients with thoracic disc herniations who underwent anterior spinal cord decompression followed by instrumented fusion through lateral approach is being reported. Demographic and radiographic data, perioperative complications, and clinical outcomes were reviewed. Forty disc levels in 33 patients (18F/15M; mean age, 52.9) were treated. Twenty-three patients presented with myelopathy (69 %), 31 had radiculopathy (94 %), and 31 had axial pain (94 %). Among patients with myelopathy, 14 (42.4 %) had bladder and/or bowel dysfunction. In the last eight cases (24 %), the approach was retropleural instead of transpleural. Patients were followed up for 18.2 months on average. The mean length of hospital stay was 5 days. None of the patients developed neurological deterioration postoperatively. Among 23 patients who had myelopathy signs, 21 (91 %) had improved postoperatively. The mean preoperative visual analog scale pain score, Oswestry Disability Index score, SF-36 PCS, and mental component summary scores were 7.5, 42.4, 29.6, and 37.5 which improved to 3.5, 33.2, 35.5, and 52.6, respectively. Perioperative complications occurred in six patients (18.1 %), all of which resolved uneventfully. Minimally invasive lateral transthoracic trans/retropleural approach is a safe and efficacious technique for achieving adequate decompression in thoracic disc herniations in a less invasive manner than conventional approaches.
dc.language.isoeng
dc.subjectCerrahi Tıp Bilimleri
dc.subjectCERRAHİ
dc.subjectNöroloji
dc.subjectSağlık Bilimleri
dc.subjectDahili Tıp Bilimleri
dc.subjectKlinik Tıp (MED)
dc.subjectTıp
dc.subjectKlinik Tıp
dc.subjectKLİNİK NEUROLOJİ
dc.titleSurgical treatment of thoracic disc disease via minimally invasive lateral transthoracic trans/retropleural approach: analysis of 33 patients
dc.typeMakale
dc.relation.journalNEUROSURGICAL REVIEW
dc.contributor.departmentUniversity of California System , ,
dc.identifier.volume36
dc.identifier.issue3
dc.identifier.startpage455
dc.identifier.endpage465
dc.contributor.firstauthorID92584


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