Thoracic lateral retropleural discectomy

Abstract

Thoracic disc herniations can be very difficult to treat, particularly when calcified. Since the dural sac cannot be retracted, posterior access to central disc herniations is difficult or impossible without inflicting neurological deficits. The lateral approach offers the advantage of direct access to the disc herniations, whether central or paracentral, as well as their interface with the dura mater. A minimally invasive approach offers the same exposure and access, while minimizing morbidity. The minimally invasive lateral transthoracic retropleural approach can be performed throughout the thoracic spine below T5.