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. 2022 Jul 1;7(1):V2.
doi: 10.3171/2022.3.FOCVID2217. eCollection 2022 Jul.

Mini-open lateral retropleural thoracic discectomy approach

Juan S Uribe  1 , Gennadiy A Katsevman  1 , Clinton D Morgan  1 , Gabriella M Paisan  1 , Laura A Snyder  1
Affiliations

Mini-open lateral retropleural thoracic discectomy approach

Juan S Uribe et al. Neurosurg Focus Video. .

Abstract

The lateral retropleural approach provides an eloquent, mini-open, safe corridor to address various pathologies in the thoracolumbar spine, including herniated thoracic discs. Traditional approaches (e.g., transpedicular, costotransversectomy, or transthoracic) have their own benefits and pitfalls but are generally associated with significant morbidity and often require instrumentation. In this video, the authors highlight the retropleural approach and its nuances, including patient positioning, surgical planning, relevant anatomy, surgical technique, and postoperative care. The video can be found here: https://stream.cadmore.media/r10.3171/2022.3.FOCVID2217.

Keywords: lateral retropleural approach; mini-open approach; thoracic disc herniation.

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Conflict of interest statement

Disclosures Dr. Uribe serves as a consultant for Mainstay Medical, Viseon, Misonix, SI Bone, and NuVasive; and receives royalties from SI Bone as well as royalties, stock/stock options, and research support from NuVasive. Dr. Snyder serves as a consultant for Medtronic, Globus, and NuVasive; and has research support from Biogen.Dr. Uribe serves as a consultant for Mainstay Medical, Viseon, Misonix, SI Bone, and NuVasive; and receives royalties from SI Bone as well as royalties, stock/stock options, and research support from NuVasive. Dr. Snyder serves as a consultant for Medtronic, Globus, and NuVasive; and has research support from Biogen.

References

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    1. Uribe JS, Smith WD, Pimenta L, et al. Minimally invasive lateral approach for symptomatic thoracic disc herniation: initial multicenter clinical experience. J Neurosurg Spine. 2012;16(3):264–279. - PubMed

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