Mini-open transthoracic approach for resection of a calcified herniated thoracic disc and repair of the dural surface with fibrin glue: a case report.
case_report · Level V
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Abstract
This study reports a case of severe anterior compression of the spinal cord by a calcified herniated thoracic disc at the T9/10 level in a 46-year-old woman. She underwent resection of the calcified herniated thoracic disc and the integrated dura, using a microscopically assisted mini-open transthoracic approach. The remaining dura mater was shaped and repaired by alternate overlapping without suture. The dural surface was reinforced with a combination of fibrin glue and a polyglycolic acid sheet. This novel procedure prevented postoperative cerebrospinal fluid leakage. The patient made an excellent recovery, without any complications.
Medical subject headings
- Calcinosis
- Dura Mater
- Fibrin Tissue Adhesive
- Intervertebral Disc Displacement
- Minimally Invasive Surgical Procedures
- Thoracic Vertebrae
- Thoracotomy
Anatomy
- thoracic spine