Related Experiment Videos
Anterior excision of herniated thoracic discs
1Reconstructive and Traumatic Spine Surgery Center, Case Western Reserve University, School of Medicine, Cleveland, Ohio.
The Journal of Bone and Joint Surgery. American Volume
|August 1, 1988
Summary
Surgical excision of thoracic disc herniations using anterior decompression or costotransversectomy yielded good results for most patients, with significant improvement in pain and motor function.
Area of Science:
- Neurosurgery
- Spinal Surgery
Background:
- Thoracic disc herniations are a rare cause of spinal cord compression.
- Symptoms often include pain and progressive neurological deficits.
Purpose of the Study:
- To evaluate the efficacy and outcomes of surgical interventions for thoracic disc herniations.
- To assess the long-term results of anterior decompression and costotransversectomy.
Main Methods:
- Retrospective review of 22 thoracic disc herniations in 19 patients.
- Surgical techniques included anterior transthoracic decompression and costotransversectomy.
- Follow-up averaged 48 months.
Main Results:
- 16 out of 19 patients achieved excellent or good outcomes.
- 12 of 14 patients with preoperative motor weakness showed improvement.
- Pain relief was reported in 18 out of 19 patients.
Conclusions:
- Anterior decompression for thoracic disc herniations provides gratifying results.
- The procedure carries a risk of spinal cord damage, necessitating careful surgical technique and planning.