title: Mini-open transthoracic approach for resection of a calcified herniated thoracic disc and repair of the dural surface with fibrin glue: a case report.
abstract: This study reports a case of severe anterior compression of the spinal cord by a calcified herniated thoracic disc at the T9/10 level in a 46-year-old woman. She underwent resection of the calcified herniated thoracic disc and the integrated dura, using a microscopically assisted mini-open transthoracic approach. The remaining dura mater was shaped and repaired by alternate overlapping without suture. The dural surface was reinforced with a combination of fibrin glue and a polyglycolic acid sheet. This novel procedure prevented postoperative cerebrospinal fluid leakage. The patient made an excellent recovery, without any complications.
authors: Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, Kanazawa, Japan.
authors: Katsuhito
authors: K
authors: Yoshioka
authors: Hideki
authors: H
authors: Murakami
authors: Satoru
authors: S
authors: Demura
authors: Satoshi
authors: S
authors: Kato
authors: Hiroyuki
authors: H
authors: Tsuchiya
mesh_terms: D002114:Calcinosis / Q000150:complications / Q000601:surgery*; D004388:Dura Mater / Q000601:surgery*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D013537:Sutures; D013904:Thoracic Vertebrae / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods*
chemical_list: D015718:Fibrin Tissue Adhesive
keywords: dura mater; intervertebral disc; thoracic vertebrae