01 — Overview
The thoracic spine is supported by the rib cage and is the least common site of degenerative surgery. Where surgery is needed, the narrow canal means the approach has to be chosen so that the pathology can be reached without retracting the spinal cord.
02 — Who it suits
- Thoracic disc herniation with spinal cord compression
- Thoracic stenosis with myelopathy
- Fracture, tumor or infection in the thoracic spine
- Kyphotic deformity
03 — How it is done
Depending on where the pathology sits, the approach may be posterolateral, lateral through the chest, or anterior. Instrumentation is added where removing bone would destabilize the segment. Spinal cord monitoring is used.
04 — Recovery
Thoracic procedures generally involve a longer hospital stay than lumbar decompression, and a chest tube may be needed after a transthoracic approach. Return to activity is staged and discussed with you.
05 — Conditions treated
- Thoracic Disc Disease Degeneration or herniation of discs in the mid-back, causing pain, numbness, and muscle weakness due to spinal cord or nerve root compression.
- Spine Trauma Breaks or cracks in the vertebrae caused by trauma, osteoporosis, or other conditions, leading to pain and potential neurological damage.
- Spinal Tumors Tumors affecting the spine, which can cause pain, neurological deficits, and spinal instability, requiring surgical removal or stabilization.
- Scoliosis & Spinal Deformity An abnormal lateral curvature of the spine, which can lead to pain, deformity, and respiratory issues if severe.
Timelines and techniques described here are general. Your own plan depends on your anatomy, your imaging and your medical history, and is decided with you at consultation.
