{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:12:31Z","timestamp":1787062351110,"version":"build-2736575974"},"reference-count":49,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T00:00:00Z","timestamp":1521936000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>Surgery for thoracic disc herniation and spinal stenosis is comparatively rare and often demanding. The goal is to achieve sufficient decompression without manipulating the spinal cord. Individual planning and various surgical techniques and approaches are required. This anatomical study examines the feasibility of a novel full\u2010endoscopic uniportal technique with a transthoracic retropleural approach for decompression of the anterior thoracic spinal canal. Operations were performed on three fresh adult cadavers. The endoscope used, from RIWOspine, Germany, has a shaft cross\u2010section of 6.9 \u00d7 5.9 mm and a 25\u00b0 view angle. It contains an eccentric intraendoscopic working channel with a diameter of 4.1 mm. A transthoracic retropleural approach was used. The anatomical structures were dissected and the anterior thoracic epidural space was decompressed. The planned steps of the operation were performed on all cadavers. The transthoracic retropleural approach allowed the target region to be accessed easily. The anatomical structures could be identified and dissected. The anterior thoracic epidural space could be decompressed sufficiently. Using the uniportal full\u2010endoscopic operation technique with a transthoracic retropleural approach, the anterior thoracic epidural space can be adequately reached. This is a minimally invasive method with the known advantages of an endoscopic technique under continuous irrigation. The retropleural approach allows direct access. The instruments are available for clinical use and have been established for years in other operations on the entire spine. Clin. Anat. 31:716\u2013723, 2018. \u00a9 2018 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.23075","type":"journal-article","created":{"date-parts":[[2018,3,25]],"date-time":"2018-03-25T22:21:47Z","timestamp":1522016507000},"page":"716-723","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Decompression of the anterior thoracic spinal canal using a novel full\u2010endoscopic uniportal transthoracic retropleural technique\u2014an anatomical feasibility study in human cadavers"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2995-2534","authenticated-orcid":false,"given":"Sebastian","family":"Ruetten","sequence":"first","affiliation":[{"name":"Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group \u2013 Catholic Hospital Rhein\u2010Ruhr, St. Anna Hospital Herne\/Marien Hospital Herne University Hospital of the Ruhr University of Bochum\/Marien Hospital Witten Herne 44649 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Hahn","sequence":"additional","affiliation":[{"name":"Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group \u2013 Catholic Hospital Rhein\u2010Ruhr, St. Anna Hospital Herne\/Marien Hospital Herne University Hospital of the Ruhr University of Bochum\/Marien Hospital Witten Herne 44649 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Semih","family":"Oezdemir","sequence":"additional","affiliation":[{"name":"Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group \u2013 Catholic Hospital Rhein\u2010Ruhr, St. Anna Hospital Herne\/Marien Hospital Herne University Hospital of the Ruhr University of Bochum\/Marien Hospital Witten Herne 44649 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xenophon","family":"Baraliakos","sequence":"additional","affiliation":[{"name":"Center for Rheumatology, Rheumazentrum Ruhrgebiet Ruhr University of Bochum Herne 44649 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgios","family":"Godolias","sequence":"additional","affiliation":[{"name":"Center for Orthopedics and Traumatology of the St. Elisabeth Group \u2013 Catholic Hospital Rhein\u2010Ruhr, St. Anna Hospital Herne\/Marien Hospital Herne University Hospital of the Ruhr University Bochum\/Marien Hospital Witten Herne 44649 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Komp","sequence":"additional","affiliation":[{"name":"Center for Spine Surgery and Pain Therapy, Center for Orthopedics and Traumatology of the St. Elisabeth Group \u2013 Catholic Hospital Rhein\u2010Ruhr, St. Anna Hospital Herne\/Marien Hospital Herne University Hospital of the Ruhr University of Bochum\/Marien Hospital Witten Herne 44649 Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.09.053"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199102000-00002"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31814b84e1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"E497","DOI":"10.36076\/ppj.2012\/15\/E497","article-title":"A systematic evaluation of thoracic interlaminar epidural injections","volume":"15","author":"Benyamin RM","year":"2012","journal-title":"Pain Phys"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2000.9.4.4"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1821-7"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3171\/2009.9.SPINE09476"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1990-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.3171\/2010.12.SPINE10273"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.56B2.225"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-3019(97)00434-5"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181b3f779"},{"key":"e_1_2_7_14_1","unstructured":"HoffmannB.2017. Untersuchung des Einflusses vesrchiedener Anwendungsparameter bei der Radiofrequenz\u2010Denervierungvon Facetten\u2010 und Iliosacralgelenk zur Optimierung des Therapieerfolges. Bachelo\u2010Thesis Hochschule Offenburg Fakult\u00e4t Eletrotechnik & Informationstechnik Studiengang Medizintechnik."},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2005.3.3.0191"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181b20250"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1947.4.3.0191"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1284400"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj\/2015.18.61"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350614525668"},{"key":"e_1_2_7_21_1","first-page":"S49","article-title":"An update of comprehensive evidence\u2010based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations","volume":"16","author":"Manchikanti L","year":"2013","journal-title":"Pain Physician"},{"key":"e_1_2_7_22_1","doi-asserted-by":"crossref","first-page":"E357","DOI":"10.36076\/ppj.2010\/13\/E357","article-title":"A preliminary report of a randomized double\u2010blind, active controlled trial of fluoroscopic thoracic interlaminar epidural injections in managing chronic thoracic pain","volume":"13","author":"Manchikanti L","year":"2010","journal-title":"Pain Phys"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2000.9.4.2"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.143.2.7071348"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182574657"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200103010-00021"},{"key":"e_1_2_7_27_1","first-page":"123","article-title":"Minimally invasive transmuscular approach for the treatment of lumbar herniated disc: far lateral lumbar disc herniation: a clinical study. Applications for cervical and thoracic disc herniation","volume":"57","author":"Peltier E","year":"2013","journal-title":"J Neurosurg Sci"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-2103-0"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11420-008-9105-4"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4380-0"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200402000-00026"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/PL00010017"},{"key":"e_1_2_7_33_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-932172"},{"key":"e_1_2_7_34_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-985860"},{"key":"e_1_2_7_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31816c8b67"},{"key":"e_1_2_7_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31816c8af7"},{"key":"e_1_2_7_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-008-0684-y"},{"key":"e_1_2_7_38_1","doi-asserted-by":"publisher","DOI":"10.3171\/2008.7.17634"},{"key":"e_1_2_7_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2004.04.007"},{"key":"e_1_2_7_40_1","first-page":"621476","article-title":"Atypical presentation of thoracic disc herniation: case series and review of the literature","volume":"2013","author":"Shirzadi A","year":"2013","journal-title":"Case Rep Orthop"},{"key":"e_1_2_7_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nec.2013.12.006"},{"key":"e_1_2_7_42_1","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1998.88.4.0623"},{"key":"e_1_2_7_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3873-6"},{"key":"e_1_2_7_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182147b68"},{"key":"e_1_2_7_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004728-198903000-00004"},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199511000-00001"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-016-0438-2"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000171"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000322"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-013-1694-0"}],"container-title":["Clinical Anatomy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fca.23075","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ca.23075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,17]],"date-time":"2023-09-17T19:02:24Z","timestamp":1694977344000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ca.23075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,25]]},"references-count":49,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1002\/ca.23075"],"URL":"https:\/\/doi.org\/10.1002\/ca.23075","archive":["Portico"],"relation":{},"ISSN":["0897-3806","1098-2353"],"issn-type":[{"value":"0897-3806","type":"print"},{"value":"1098-2353","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,25]]},"assertion":[{"value":"2018-01-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-03-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}