HERNIATED THORACIC DISKS - TREATMENT AND OUTCOME

被引：38

作者：

RIDENOUR, TR ^{[1
]}

HADDAD, SF ^{[1
]}

HITCHON, PW ^{[1
]}

PIPER, J ^{[1
]}

TRAYNELIS, VC ^{[1
]}

VANGILDER, JC ^{[1
]}

机构：

[1] UNIV IOWA,COLL MED,DEPT SURG,DIV NEUROSURG,IOWA CITY,IA 52242

来源：

JOURNAL OF SPINAL DISORDERS | 1993年 / 6卷 / 03期

关键词：

THORACIC DISK; COSTOTRANSVERSECTOMY; TRANSPEDICULAR DISKECTOMY; LAMINECTOMY;

D O I：

10.1097/00002517-199306030-00006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The optimal surgical approach for thoracic disk herniation is controversial, and long-term follow-up is poorly documented. We retrospectively reviewed the records of 31 patients who underwent surgery for herniated thoracic disks at our institution during a 17-year period (1975-1992). Two patients had multiple disk herniations; 16 of 33 herniated disks occurred at or below the T10-11 level. There were three surgical approaches to diskectomy: laminectomy in four patients, transpedicular surgery in 12, and costotransversectomy in 15. Weakness resolved postsurgery in nine of 18 patients. One patient transiently deteriorated neurologically after a laminectomy, three had wound infections, and two required second operations for their herniated disks. Postsurgery.half the patients with symptoms continued to have pain or weakness.

引用

页码：218 / 224

页数：7

共 41 条

[1]

Abbott K., Retter R., Protrusions of thoracic intervertebral disks, Neurology, 6, pp. 1-10, (1956)

[2]

Arbit E., Patterson R., Extradural spinal cord and nerve root compression from benign lesions of the dorsal area, Neuro-Logical Surgery, 5, pp. 2562-2573, (1982)

[3]

Arce C., Dohrmann G., Herniated thoracic disks: Symposium on neurosurgery, Neurol Clin, 13, pp. 383-392, (1985)

[4]

Aresni C., Nash F., Thoracic intervertebral disk protrusion: A clinical study, J Neurosurg, 17, pp. 418-430, (1960)

[5]

Awwad E., Martin D., Smith K., Baker B., Asymptomatic versus symptomatic herniated thoracic discs: Their frequency and characteristics as detected by computed tomography after my-elography, Neurosurgery, 28, pp. 180-186, (1991)

[6]

Baker H., Love J., Uhlein A., Roentgenologic features of protruded thoracic intervertebral discs, Radiology, 84, pp. 1059-1065, (1965)

[7]

Benjamin V., RansohoiTJ: Thoracic disc disease. In: The Spine 2nd ed. Ed by RH Rothman and FA Simeone. Philadelphia, WB Saunders, pp. 500-507, (1982)

[8]

Benson M., Byrnes D., The clinical syndromes and surgical treatment of thoracic intervertebral disk prolapse, J Bone Joint Surg [Br], 57, pp. 471-477, (1975)

[9]

Blumenkopf B., Thoracic intervertebral disc herniations: Diagnostic value of magnetic resonance imaging, Neurosurgery, 23, pp. 36-40, (1988)

[10]

Capener N., The evolution of lateral rachotomv, J Bone Joint Surg, 28, pp. 103-107, (1954)

← 1 2 3 4 5 →