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
收藏
页码:218 / 224
页数:7
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