TY - JOUR

T1 - Video-assisted thoracoscopic treatment of discogenic thoracic myelopathy

AU - Kubetsky, Y. E.

AU - Anisimov, E. D.

AU - Khalepa, R. V.

AU - Loparev, E. A.

AU - Rzaev, D. A.

AU - Amelina, E. V.

AU - Kelmakov, V. V.

N1 - Кубецкий Ю.Е., Анисимов Е.Д., Халепа Р.В., Лопарев Е.В., Рзаев Д.А., Амелина Е.В., Кельмаков В.В. Видеоассистированное торакоскопическое лечение дискогенной грудной миелопатии // Нейрохирургия. - 2023. - Т. 25. - № 2. - С. 28-40. Публикация для корректировки.

PY - 2023

Y1 - 2023

N2 - Background. Clinically significant herniated intervertebral discs in the thoracic spine are quite rare, and the tactics of surgical treatment of patients with this pathology remains debatable. The thoracoscopic technique has a number of advantages such as shorter hospitalization period and less pronounced pain syndrome in the area of surgical intervention as compared to the standard intervention via posterior surgical access. Aim. To evaluate the results of videothoracoscopic treatment of patients with discogenic thoracic myelopathy. Material and methods. The article presents results of treatment of 21 patients hospitalized in the Federal Neurosurgical Center (Novosibirsk). According to results of examination, the patients were divided into 2 groups: with mild (10 patients) or ossified (11 patients) hernias. Each patient underwent video-assisted thoracoscopic microdiscectomy. The median follow-up was 29 (4 to 72) months. Results. At the time of discharge, 18 (85.7 %) patients had no deterioration in their neurological status, 2 (9.5 %) had positive dynamics in the form of decrease in degree of hypertonicity and degree of lower paraparesis, 1 (4.75 %) had some deterioration in the status. A satisfactory result of the treatment in the late postoperative period was achieved in 14 (66.7 %) patients. Conclusion. Video-assisted thoracoscopic surgery appears to be an effective and fairly safe method of surgical treatment of patients with discogenic thoracic myelopathy.

AB - Background. Clinically significant herniated intervertebral discs in the thoracic spine are quite rare, and the tactics of surgical treatment of patients with this pathology remains debatable. The thoracoscopic technique has a number of advantages such as shorter hospitalization period and less pronounced pain syndrome in the area of surgical intervention as compared to the standard intervention via posterior surgical access. Aim. To evaluate the results of videothoracoscopic treatment of patients with discogenic thoracic myelopathy. Material and methods. The article presents results of treatment of 21 patients hospitalized in the Federal Neurosurgical Center (Novosibirsk). According to results of examination, the patients were divided into 2 groups: with mild (10 patients) or ossified (11 patients) hernias. Each patient underwent video-assisted thoracoscopic microdiscectomy. The median follow-up was 29 (4 to 72) months. Results. At the time of discharge, 18 (85.7 %) patients had no deterioration in their neurological status, 2 (9.5 %) had positive dynamics in the form of decrease in degree of hypertonicity and degree of lower paraparesis, 1 (4.75 %) had some deterioration in the status. A satisfactory result of the treatment in the late postoperative period was achieved in 14 (66.7 %) patients. Conclusion. Video-assisted thoracoscopic surgery appears to be an effective and fairly safe method of surgical treatment of patients with discogenic thoracic myelopathy.

KW - intervertebral disc herniation

KW - thoracic myelopathy

KW - videothoracoscopy

UR - https://www.scopus.com/record/display.uri?eid=2-s2.0-85168284012&origin=inward&txGid=23f823f5c1f32d43c9fb41d883132c99

UR - https://www.elibrary.ru/item.asp?id=54143128

UR - https://www.mendeley.com/catalogue/f2554768-290f-3f3c-8fce-41f423712a46/

U2 - 10.17650/1683-3295-2023-25-2-28-40

DO - 10.17650/1683-3295-2023-25-2-28-40

M3 - Article

VL - 25

SP - 162

EP - 172

JO - Нейрохирургия

JF - Нейрохирургия

SN - 1683-3295

IS - 2

ER -