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Thoracic disc disease and stenosis.

S A Rosenbloom1

  • 1Division of Radiology, Cleveland Clinic Foundation, Ohio.

Radiologic Clinics of North America
|July 1, 1991
PubMed
Summary

Thoracic disc herniation and stenosis are uncommon spinal conditions, often degenerative. MR imaging is crucial for diagnosing these issues and their impact on the spinal cord.

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Area of Science:

  • Neurosurgery
  • Radiology
  • Orthopedics

Background:

  • Thoracic disc herniation and stenosis are less common than in the cervical or lumbar spine.
  • These conditions are typically degenerative but can be influenced by trauma.
  • Clinical symptoms include local/radicular pain and potential spinal cord dysfunction.

Purpose of the Study:

  • To review the presentation and diagnostic modalities for thoracic disc herniation and stenosis.
  • To highlight the role of imaging in identifying these spinal abnormalities.

Main Methods:

  • Review of clinical presentations associated with thoracic disc herniation and stenosis.
  • Discussion of imaging techniques, primarily MR imaging and CT myelography.
  • Analysis of the diagnostic capabilities of each imaging modality.

Main Results:

  • MR imaging is the preferred method for defining thoracic disc abnormalities and spinal cord effects.
  • CT myelography can be valuable for assessing posterior osseous and ligamentous involvement.
  • MR imaging may uncover a higher incidence of thoracic disc herniation than previously recognized.

Conclusions:

  • Accurate diagnosis of thoracic disc herniation and stenosis relies on appropriate imaging.
  • MR imaging offers comprehensive visualization of thoracic spinal pathology.
  • Understanding the diagnostic utility of MR imaging is key to assessing the true incidence of thoracic disc herniation.

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