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Research ArticleNew Technology

A New High-Speed Shielded Curved Device Allowing Safe Posterior Thoracic Discectomy Through a Modified Transforaminal Thoracic Interbody Fusion Approach: Technique Description and Case Series

MICHAEL A. MILLGRAM, DANIEL E KOLSKY, WILLIAM J. BEUTLER, RICHARD D GUYER and ELY ASHKENAZI
International Journal of Spine Surgery December 2019, 13 (6) 515-521; DOI: https://doi.org/10.14444/6069
MICHAEL A. MILLGRAM
1Israel Spine Center, Assuta Hospital, Tel Aviv, Israel,
MD
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DANIEL E KOLSKY
1Israel Spine Center, Assuta Hospital, Tel Aviv, Israel,
BSCMED
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WILLIAM J. BEUTLER
2Pennsylvania Spine Institute, Harrisburg, Pennsylvania,
MD
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RICHARD D GUYER
3Texas Back Institute, Plano, Texas
MD
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ELY ASHKENAZI
1Israel Spine Center, Assuta Hospital, Tel Aviv, Israel,
MD
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  • Figure 1
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    Figure 1

    The DReal (lower left) and expanded view of the distal tip (upper right).

  • Figure 2
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    Figure 2

    (a) Safety feature of the protective shield. (b–d) Navigating inside the disc space.

  • Figure 3
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    Figure 3

    Intraoperative fluoroscopic image of the DReal inside the disc space.

  • Figure 4
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    Figure 4

    Left: The device outside the disc space; the drill side is marked with a white arrow. Right: The device in the disc space underneath the cord. The curved region is marked with a green arrow in both pictures.

  • Figure 5
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    Figure 5

    Preoperative (left) and postoperative (right) magnetic resonance imaging scans of patient no. 8, experiencing disc herniation at D10 to D11.

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International Journal of Spine Surgery
Vol. 13, Issue 6
1 Dec 2019
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A New High-Speed Shielded Curved Device Allowing Safe Posterior Thoracic Discectomy Through a Modified Transforaminal Thoracic Interbody Fusion Approach: Technique Description and Case Series
MICHAEL A. MILLGRAM, DANIEL E KOLSKY, WILLIAM J. BEUTLER, RICHARD D GUYER, ELY ASHKENAZI
International Journal of Spine Surgery Dec 2019, 13 (6) 515-521; DOI: 10.14444/6069

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A New High-Speed Shielded Curved Device Allowing Safe Posterior Thoracic Discectomy Through a Modified Transforaminal Thoracic Interbody Fusion Approach: Technique Description and Case Series
MICHAEL A. MILLGRAM, DANIEL E KOLSKY, WILLIAM J. BEUTLER, RICHARD D GUYER, ELY ASHKENAZI
International Journal of Spine Surgery Dec 2019, 13 (6) 515-521; DOI: 10.14444/6069
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Keywords

  • discectomy
  • disc herniation
  • fusion
  • high-speed drill
  • posterior approach
  • thoracic

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