How I do it: posterior transdural approach for central soft thoracic disk herniation

Acta Neurochir (Wien). 2020 Sep;162(9):2051-2054. doi: 10.1007/s00701-020-04387-6. Epub 2020 May 8.


Background: Thoracic disc herniation (TDH) is a rare condition with severe neurological sequelae. Surgical management is still a matter of debate and challenging.

Method: We present a modification of the transdural approach for TDH. The approach has been described in a stepwise fashion, analysing pre-, peri-, and postoperative strategies to improve patients' management and reduce approach-related morbidity.

Conclusion: The modified posterior transdural approach represents an effective technique for TDH, minimizing the risk of spinal cord damages, which can dramatically affect the outcome.

Keywords: Discectomy; Spinal cord; Thoracic disc herniation; Transdural approach.

MeSH terms

  • Adult
  • Diskectomy / adverse effects
  • Diskectomy / methods*
  • Dura Mater / surgery
  • Female
  • Humans
  • Intervertebral Disc Displacement / surgery*
  • Male
  • Middle Aged
  • Postoperative Complications / prevention & control*
  • Thoracic Vertebrae / surgery*