Real-Time Ultrasound-Guided Posterolateral Thoracic Discectomy: 2-Dimensional Operative Video

作者：Mohamed Macki, Timothy Chryssikos, Mahdi Saab, Lee A. Tan · 发表于：Operative Neurosurgery · 年份：2024 · DOI：10.1227/ons.0000000000001111 · 被引用次数：1 · 研究领域：Spine and Intervertebral Disc Pathology、Cervical and Thoracic Myelopathy、Peripheral Nerve Disorders

Symptomatic thoracic disk herniations can be challenging to treat. Various surgical approaches have been reported in the literature, but the ideal approach is still a topic of controversy. We present a step-by-step surgical video highlighting the utilization of continuous, real-time intraoperative ultrasound (IOUS) guidance for thoracic discectomy through a posterolateral approach. The background and rationale for the procedure and a detailed presentation of the sequence of surgical steps are detailed in the operative video. We believe that real-time IOUS can be used not only to gain an understanding of the ventral anatomy and to verify decompression after discectomy but it can also be used in a real-time fashion to guide the maneuvers for discectomy itself. Advantages of using real-time IOUS include real-time monitoring of the spinal cord during mobilization of the disk-osteophyte complex and direct visualization of the dura-disk herniation interface, which may enhance the safety of surgery. The patient consented to the procedure and the publication of her image.