{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:36:57Z","timestamp":1740166617137,"version":"3.37.3"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Thoracic disk herniations (TDHs) are relatively rare compared with their cervical and lumbar counterparts. Posterior approaches allow for a simpler and less invasive surgery than anterior and lateral approaches. A pedicle-sparing transfacet approach was initially described in 1995, and modified in 2010. A few clinical series have reported the outcome of this procedure in patients with TDH. This study aimed to evaluate the outcomes and complications of pedicle-sparing transfacet diskectomy with interbody fusion and segmental instrumentation in patients with TDH.<\/jats:p><jats:p>\n          Methods\u2003Twenty-one consecutive patients with symptomatic TDH referred to our tertiary care center were included in this retrospective study. All patients underwent a pedicle-sparing transfacet diskectomy with polyetheretherketone (PEEK) cage interbody fusion and short segmental instrumentation. Distribution of TDH, operative duration, blood loss, Visual Analog Scale (VAS) pain scores, Nurick grades, modified Japanese Orthopaedic Association (mJOA) scores, and fusion rate were assessed.<\/jats:p><jats:p>\n          Results\u2003All patients had single-level herniations. The most common location was T12\u2013L1 (38.1%), followed by T11\u2013T12 (33.3%). All patients were successfully operated on with no cerebrospinal fluid (CSF) leaks or wrong-level surgery. The VAS scores significantly diminished from 4.9 (preoperatively) to 2 (18 months after surgery). The average mJOA score increased from 4.6 to 8.5, and the average Nurick grade decreased from 3.1 to 1.6. All patients reported significant improvement in quality of life relative to their preoperative status.<\/jats:p><jats:p>\n          Conclusion\u2003A modified pedicle-sparing transfacet diskectomy combined with PEEK cage interbody fusion and segmental instrumentation offers a safe and less invasive approach for the treatment of TDHs.<\/jats:p>","DOI":"10.1055\/a-2005-0620","type":"journal-article","created":{"date-parts":[[2022,12,31]],"date-time":"2022-12-31T00:09:56Z","timestamp":1672445396000},"page":"240-245","source":"Crossref","is-referenced-by-count":1,"title":["Clinical Outcome of Pedicle-Sparing Transfacet Diskectomy and Fusion with Segmental Instrumentation for Thoracic Disc Herniation"],"prefix":"10.1055","volume":"85","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6185-8367","authenticated-orcid":false,"given":"Keyvan","family":"Eghbal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0124-3752","authenticated-orcid":false,"given":"Saber","family":"Zafarshamspour","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran"},{"name":"Department of Surgery, Rafsanjan University of Medical Sciences, Kerman, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammadamin","family":"Sookhaklari","sequence":"additional","affiliation":[{"name":"Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arash","family":"Saffarian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza","family":"Taheri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,11]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"2496","DOI":"10.1007\/s00586-013-2877-3","article-title":"Surgical outcomes of posterior thoracic interbody fusion for thoracic disc herniations","volume":"22","author":"R Yamasaki","year":"2013","journal-title":"Eur Spine J"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/S0090-3019(98)00008-1","article-title":"Thoracic disc herniations: transthoracic, lateral, or posterolateral approach? 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Experience in over 200 patients","volume":"2","author":"H Blume","year":"1981","journal-title":"J Neurol Orthopaed Surg"},{"issue":"04","key":"ref11","doi-asserted-by":"crossref","first-page":"E65","DOI":"10.1097\/01.BRS.0000113034.74567.86","article-title":"Transforaminal lumbar interbody fusion: the effect of various instrumentation techniques on the flexibility of the lumbar spine","volume":"29","author":"B M Harris","year":"2004","journal-title":"Spine"},{"issue":"01","key":"ref12","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/00024720-200202000-00005","article-title":"Unilateral transforaminal posterior lumbar interbody fusion (TLIF): indications, technique, and 2-year results","volume":"15","author":"T G Lowe","year":"2002","journal-title":"J Spinal Disord Tech"},{"issue":"03","key":"ref13","doi-asserted-by":"crossref","first-page":"198","DOI":"10.3171\/spi.2006.4.3.198","article-title":"Unilateral transforaminal lumbar interbody fusion and bilateral anterior-column fixation with two Brantigan I\/F cages per level: clinical outcomes during a minimum 2-year follow-up period","volume":"4","author":"H Taneichi","year":"2006","journal-title":"J Neurosurg Spine"},{"issue":"19","key":"ref14","doi-asserted-by":"crossref","first-page":"E1000","DOI":"10.1097\/BRS.0b013e3181dc9153","article-title":"A new thoracic reconstruction technique \u201ctransforaminal thoracic interbody fusion\u201d: a preliminary report of clinical outcomes","volume":"35","author":"M Machino","year":"2010","journal-title":"Spine"},{"key":"ref15","first-page":"215","article-title":"Intercorporal bone graft in spinal fusion after disc removal","volume":"82","author":"I A Jaslow","year":"1946","journal-title":"Surg Gynecol Obstet"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jocn.2018.10.047","article-title":"Clinical outcomes of posterior thoracic cage interbody fusion (PTCIF) to treat trauma and degenerative disease of the thoracic and thoracolumbar junctional spine","volume":"60","author":"M Kim","year":"2019","journal-title":"J Clin Neurosci"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1177\/2192568219870459","article-title":"Transforaminal thoracic interbody fusion for thoracic disc prolapse: surgicoradiological analysis of 18 cases","volume":"10","author":"A Krishnan","year":"2020","journal-title":"Global Spine J"},{"issue":"05","key":"ref18","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.surneu.2004.06.026","article-title":"Transthoracic discectomy without interbody fusion","volume":"63","author":"W E Krauss","year":"2005","journal-title":"Surg Neurol"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1007\/s00264-018-4224-0","article-title":"Surgical treatment of thoracic disc herniation: an overview","volume":"43","author":"C Bouthors","year":"2019","journal-title":"Int Orthop"}],"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2005-0620.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T16:45:36Z","timestamp":1730825136000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2005-0620"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,30]]},"references-count":19,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,4,1]]},"published-print":{"date-parts":[[2024,5]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2005-0620","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"type":"print","value":"2193-6315"},{"type":"electronic","value":"2193-6323"}],"subject":[],"published-other":{"date-parts":[[2022,12,30]]},"published":{"date-parts":[[2022,12,30]]}}}