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Thoracic radiculopathy.

Ryan C O'Connor1, Michael T Andary, Randolph B Russo

  • 1Department of Physical Medicine and Rehabilitation, Michigan State University, College of Osteopathic Medicine, B401 West Fee Hall, East Lansing, MI 48824, USA. dokroc@msn.com

Physical Medicine and Rehabilitation Clinics of North America
|October 17, 2002
PubMed
Summary

Thoracic radiculopathy, a rare spinal condition, is often missed. Degenerative disc disease and diabetes are common causes, diagnosed with imaging and electromyography.

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Area of Science:

  • Neurology
  • Spinal Disorders
  • Pain Management

Background:

  • Thoracic radiculopathy is an uncommon but significant spinal disorder.
  • It is frequently overlooked in the assessment of spinal pain.
  • Degenerative disc disease and diabetes mellitus are identified as potential causes.

Purpose of the Study:

  • To highlight the importance of recognizing thoracic radiculopathy.
  • To discuss diagnostic modalities for thoracic radiculopathy.
  • To outline treatment options for thoracic spinal pain.

Main Methods:

  • Review of diagnostic tools including electromyography (EMG) and magnetic resonance imaging (MRI).
  • Discussion of treatment interventions such as percutaneous vertebroplasty.
  • Analysis of indications for surgical intervention.

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Main Results:

  • EMG and MRI are valuable for diagnosing thoracic radiculopathy.
  • Percutaneous vertebroplasty can be an effective treatment.
  • Surgery is typically reserved for severe cases with myelopathy.

Conclusions:

  • Thoracic radiculopathy requires increased clinical awareness.
  • A combination of diagnostic imaging and electrodiagnostic tests aids in diagnosis.
  • Treatment strategies range from conservative measures to surgical intervention for advanced cases.