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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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Thoracic disk prolapse.

T D Nadkarni1, A Goel1, R D Nagpal1

  • 1Department of Neurosurgery, K. E. M. Hospital, Parel, Bombay - 400012, India.

Neurology India
|March 16, 2018
PubMed
Summary
This summary is machine-generated.

This study analyzed 15 thoracic disc prolapse cases. Patients undergoing discoidectomy alongside laminectomy showed better long-term outcomes than those with laminectomy alone.

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Area of Science:

  • Neurosurgery
  • Spinal Surgery

Background:

  • Thoracic disc prolapse is a rare condition.
  • It can cause significant neurological deficits.

Purpose of the Study:

  • To analyze the clinical presentation, surgical treatment, and outcomes of thoracic disc prolapse.
  • To compare the effectiveness of laminectomy versus laminectomy with discoidectomy.

Main Methods:

  • Retrospective analysis of 15 patients with thoracic disc prolapse.
  • Surgical treatment included posterior decompressive laminectomy, with discoidectomy in five cases.

Main Results:

  • Lower dorsal disc prolapse was most common.
  • Pain, motor weakness, and bladder/bowel dysfunction were key symptoms.
  • Patients undergoing discoidectomy had better long-term results than those with laminectomy alone.

Conclusions:

  • Posterior decompressive laminectomy is a viable surgical option for thoracic disc prolapse.
  • Adding discoidectomy may improve long-term outcomes in select cases.