What question did this study set out to answer?

To evaluate the safety and effectiveness of a posterior partial transpedicular approach for thoracic disc herniations.

March 26, 2026

The posterior approach for removal of all thoracic disc herniations: a single-surgeon experience using the partial transpedicular approach with ultrasonic bone aspiration and ultrasound guidance in 108 consecutive patients.

Key Points

To evaluate the safety and effectiveness of a posterior partial transpedicular approach for thoracic disc herniations.
Conducted a series of surgeries using the posterior partial transpedicular approach.
Augmented the technique with intraoperative ultrasound (IOUS) and ultrasonic bone aspiration (UA).
Analyzed outcomes in 108 consecutive patients.
Demonstrated significant neurological improvement post-surgery.
Maintained an acceptable complication profile.
Showed potential for widespread adoption among general spine surgeons.

Abstract

This large single-surgeon series demonstrated that the posterior partial transpedicular approach augmented with IOUS and UA is a safe, effective, and widely applicable technique for TDH, including large and calcified lesions. The method provides significant neurological improvement with an acceptable complication profile and can be readily adopted by general spine surgeons.

The posterior approach for removal of all thoracic disc herniations: a single-surgeon experience using the partial transpedicular approach with ultrasonic bone aspiration and ultrasound guidance in 108 consecutive patients.

Key Points

Abstract

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