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Journal of Neurology and Neurorehabilitation Research | Volume 3

November 26-27, 2018 | Dubai, UAE

Spine and Spine Disorders

Addiction Research and Therapy

3rd International Conference on

International Conference on

Joint Event

&

Transforaminal Percutaneous Endoscopic Thoracic Discectomy for Herniated disc - A technical note

Gun Choi

Pohang Wooridul Hospital, South Korea

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 post-

operative 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.

e

:

spine.choi@gmail.com