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Minimally Invasive Surgery
Volume 2014, Article ID 301945, 6 pages
http://dx.doi.org/10.1155/2014/301945
Clinical Study

Transforaminal Approach in Thoracal Disc Pathologies: Transforaminal Microdiscectomy Technique

1Neurospinal Academy, Neurosurgery, 34940 Istanbul, Turkey
2Tepecik Education and Training Hospital, Clinic of Neurosurgery, 35120 Izmir, Turkey

Received 17 March 2014; Accepted 23 March 2014; Published 15 April 2014

Academic Editor: Peng Hui Wang

Copyright © 2014 Sedat Dalbayrak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Many surgical approaches have been defined and implemented in the last few decades for thoracic disc herniations. The endoscopic foraminal approach in foraminal, lateral, and far lateral disc hernias is a contemporary minimal invasive approach. This study was performed to show that the approach is possible using the microscope without an endoscope, and even the intervention on the discs within the spinal canal is possible by having access through the foramen. Methods. Forty-two cases with disc hernias in the medial of the pedicle were included in this study; surgeries were performed with transforaminal approach and microsurgically. Extraforaminal disc hernias were not included in the study. Access was made through the Kambin triangle, foramen was enlarged, and spinal canal was entered. Results. The procedure took 65 minutes in the average, and the mean bleeding amount was about 100cc. They were mobilized within the same day postoperatively. No complications were seen. Follow-up periods range between 5 and 84 months, and the mean follow-up period is 30.2 months. Conclusion. Transforaminal microdiscectomy is a method that can be performed in any clinic with standard spinal surgery equipment. It does not require additional equipment or high costs.