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Published on: August 6, 2019
Anterior decompression and fusion for multiple thoracic disc herniation
K Ohnishi1, K Miyamoto, Y Kanamori
1Department of Orthopaedic Surgery, Gifu University School of Medicine, Gifu City, Gifu, Japan.
The Journal of Bone and Joint Surgery. British Volume
|March 19, 2005
Summary
Multiple thoracic disc herniations treated with anterior decompression and fusion showed significant neurological improvement. This surgical approach offers satisfactory outcomes for this rare spinal condition.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spinal Disorders
Background:
- Multiple thoracic disc herniations are infrequent, with limited published case reports.
- Surgical management of multiple thoracic disc herniations presents unique challenges.
Purpose of the Study:
- To evaluate the clinical outcomes of anterior decompression and fusion for multiple thoracic disc herniations.
- To assess the efficacy of a transthoracic approach for this rare spinal pathology.
Main Methods:
- A cohort of 12 patients with multiple thoracic disc herniations underwent anterior decompression and fusion.
- Surgical procedures were performed via a transthoracic approach.
- Clinical outcomes were assessed using the Frankel neurological classification and Japanese Orthopaedic Association (JOA) scores.
Main Results:
- Significant improvement in JOA scores was observed, with a mean recovery rate of 44.8%.
- Under the Frankel classification, 18% of patients improved by two grades, and 8% improved by one grade.
- Overall outcomes were rated as excellent in 17%, good in 17%, and fair in 50% of patients.
Conclusions:
- Anterior decompression and fusion through a transthoracic approach can yield satisfactory results for multiple thoracic disc herniations.
- This surgical strategy is a viable option for managing this rare spinal condition.
