Abstract:

Spinal surgeons have long sought to find a procedure of choice by which to treat thoracic disc herniations. The threat of cord inury has stimulated many attempted approaches includig posterior laminectomy (abandoned currently as too likely to result in neurologic loss), costotransversectomy, trans-thoracic trans-pleural, postero-lateral, trans-pedicular and, more recently, transthoracic endoscopic. Commonly, surgery is not contemplated unless significant cord compression and neurologic deficit is present.

Authors:

John C. Chiu, M.D., F.R.C.S., F.A.C.S., Thomas J. Clifford, M.D., Romulo Sison, O.P.A.-C., C.S.T.

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