Acute traumatic sequestrated thoracic disc herniation: A case report and review
Abolfazl Rahimizadeh1, Sam Hajialiloo Sami1, Shahrzad Rahimizadeh1
1Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran.
Surgical Neurology International
|April 21, 2021
Summary
Rare traumatic thoracic disc herniations causing severe neurological deficits require prompt surgical intervention. This case highlights successful surgical excision and recovery in an elderly male.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Traumatology
Background:
- Pure sequestrated thoracic disc herniations are uncommon, particularly those resulting from trauma.
- Acute thoracic disc herniations without associated fractures or dislocations are exceptionally rare.
Observation:
- An elderly male experienced sudden-onset severe paraparesis after a fall.
- Magnetic resonance imaging revealed a left-sided extruded disc at the T10-T11 level.
- The patient underwent a thoracic interlaminar laminectomy with removal of sequestrated disc fragments via a transfacet approach.
Findings:
- Surgical intervention included placement of an interbody Peek cage and bilateral T10-T11 pedicle screw instrumentation.
- The patient demonstrated a good recovery at the 6-month postoperative follow-up.
Implications:
- Timely surgical excision is crucial for patients with acute thoracic disc herniations presenting with significant neurological deficits.
- This case underscores the effectiveness of surgical management in achieving favorable outcomes for rare traumatic spinal injuries.
Keywords:
OutcomeThoracic discThoracic spineTransfacet pedicle sparing routeTransthoracic approachTraumatic thoracic disc herniation
