Abstract

MURGA-VILLANUEVA, Annel; BASURCO-CARPIO, Alfonso  and  LAOS-PLASIER, Eduardo. Transthoracic extrapleural discectomy without fusion for dorsal disc herniation resection giant calcified: case report and review of literature. Acta méd. Peru [online]. 2022, vol.39, n.1, pp.89-95.  Epub Jan 05, 2022. ISSN 1728-5917.  http://dx.doi.org/10.35663/amp.2022.391.2315.

Introduction: Calcified thoracic disc herniation are rare and their approach represents a surgical challenge when they are large and symptomatic. Extrapleural Transthoracic discectomy can be considered a safe approach to resection of the calcified disc fragment and spinal cord descompression. Clinical case: 53-year-old man with middle dorsalgia radiating to the inframammary region and progressive difficulty walking, proximal paraparesis moderate, sensory level T8 and urinary retention. The images demonstrated a large T6-7 disc herniation calcified causing severe spinal cord compression. The patient underwent T6-7 extrapleural transthoracic discectomy plus T6 partial corpectomy without fusion. The patient tolerated the procedure well without complications and postoperative imaging demonstrated descompression of spinal cord. At followup, irradiated dorsalgia, paraparesis, sensitive level and urinary retention improved.

Keywords : Intervertebral Disc Displacement; Spinal Cord Compression; Diskectomy; Paraparesis.

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