Mini-Open Transthoracic Approach for Resection of a Calcified Herniated Thoracic Disc and Repair of the Dural Surface with Fibrin Glue: A Case Report. (August 2015)

• Record Type: Journal Article
• Authors: Yoshioka, Katsuhito; Murakami, Hideki; Demura, Satoru; Kato, Satoshi; Tsuchiya, Hiroyuki
• Is Part Of: Journal of orthopaedic surgery. Volume 23:Number 2(2015)
• Page Start: 243
• Page End: 246
• Publication Date: 2015-08
• Subjects: dura mater -- intervertebral disc -- thoracic vertebrae; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic surgery; Periodicals; 617.3
• DOI: 10.1177/230949901502300228
• Languages: English
• ISSNs: 1022-5536

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.