ArticlePain research & management
Full-Endoscopic Transforaminal Ventral Decompression for Symptomatic Thoracic Disc Herniation with or without Calcification: Technical Notes and Case Series.
Article in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 15 citations in OpenAlex.
- Thoracic endoscopic spine surgery: systematic review of the literature and exploring the margin of benefit.Journal of spine surgery (Hong Kong) · 2026Review
- Endoscopic Interlaminar Decompression for T1-T2 Thoracic Disc Herniation: A Case Report.Cureus · 2026Article
- Combined open and minimally invasive strategy for thoracic ossification of posterior longitudinal ligament: a case report and technical notes.Annals of medicine and surgery (2012) · 2026Article
- The efficacy and safety of endoscopy-assisted anterior cervical discectomy and fusion for the treatment of cervical spondylotic myelopathy.Frontiers in surgery · 2026Article
- Analysis of factors associated with intercostal neuralgia after osteoporotic thoracic spine fracture and construction of a prediction model.BMC musculoskeletal disorders · 2025Article
- Non-pressurized percutaneous endoscopic transforaminal lumbar discectomy in the treatment of cauda equina syndrome caused by lumbar disc herniation.Frontiers in surgery · 2025Article
- Develop and validate a machine learning model to predict the risk of persistent pain after percutaneous transforaminal endoscopic discectomy.Frontiers in surgery · 2025Article
- Transcostal Microendoscopic Discectomy for Central Thoracic Disc Herniation Causing Myelopathy: A Technical Note.Spine surgery and related research · 2024Article
- Technical Notes and Clinical Outcomes of Full-Endoscopic Interbody Fusion Via Transforaminal Approach for Hard Disc Herniations in Thoracolumbar Junction.Orthopaedic surgery · 2023Article
- Transforaminal endoscopic thoracic discectomy: surgical technique.Journal of spine surgery (Hong Kong) · 2023Article
- Uniportal, Transforaminal Endoscopic Thoracic Discectomy: Review and Technical Note.Neurospine · 2023Article
- Clinical Efficacy of Endoscopic-Assisted Resection of Single-Segment Ossification of the Posterior Longitudinal Ligament in the Treatment of Thoracic Spinal Stenosis.Frontiers in surgery · 2022Article
- Fully endoscopic transforaminal discectomy for thoracolumbar junction disc herniation with or without calcification under general anesthesia: Technical notes and preliminary outcomes.Frontiers in surgery · 2022Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSymptomatic thoracic disc herniation is a challenge in spinal surgery, especially for cases with calcification. Traditional open operation has a high complication rate. The authors introduced a modified full-endoscopic transforaminal ventral decompression technique in this study and evaluated its imaging and clinical outcomes. MATERIALS AND
methodsEleven patients with symptomatic thoracic disc herniation who underwent full-endoscopic transforaminal ventral decompression in a single medical center were enrolled. The surgical technique was performed as described in detail. Dilator sliding punching, endoscope-monitored foraminoplasty, and base cutting through the "safe triangle zone" are the key points of the technique. Clinical outcomes were assessed by the modified Japanese Orthopedic Association (mJOA) score for neurological improvement and the visual analogy score (VAS) for thoracic and leg pain. The operation time, hospital stay, and complications were also analyzed.
resultsPostoperative magnetic resonance imaging (MRI) revealed good decompression of the spinal cord. The mJOA improved from 7.4 (range: 5-10) to 10.2 (range: 9-11). Axial thoracic pain improved in 8 of 9 patients. Leg pain and thoracic radicular pain improved in all patients. No complications were observed. The average operation time was 136 minutes (range: 70-180 minutes). The average length of hospital stay was 5.3 days (range: 2-8 days).
conclusionMinimally invasive full-endoscopic transforaminal ventral decompression for the treatment of symptomatic thoracic disc herniation with or without calcification is feasible and may be another option for this challenging spine disease.
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