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[Dorsal disc herniation. 13 cases].

F Lesoin, M Rousseaux, A Autricque

    Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
    |January 1, 1986
    PubMed
    Summary
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    Surgical outcomes for thoracic disc herniation improved with a postero-lateral approach, particularly transverse arthroediculectomy using microscopy. This method enhanced recovery for both cord compression and radicular syndromes in patients.

    Area of Science:

    • Neurosurgery
    • Spinal Surgery

    Background:

    • Thoracic disc herniation is a rare condition causing spinal cord compression.
    • Surgical management has evolved, with diagnostic and therapeutic approaches changing over time.

    Purpose of the Study:

    • To review surgical outcomes for thoracic disc herniation treated between 1960 and 1984.
    • To evaluate the effectiveness of different surgical approaches and diagnostic methods.

    Main Methods:

    • Review of 13 patients operated on for thoracic disc herniation.
    • Shift in diagnostic methods from medullary angiography and myelography to computerised myelotomography.
    • Comparison of surgical approaches: laminectomy, transthoracic, and postero-lateral (including transverse arthroediculectomy with microscopy).

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    Main Results:

    • The postero-lateral approach, especially transverse arthroediculectomy with microscopy and Harrington rods, yielded better outcomes.
    • Seven of nine patients with cord syndromes improved.
    • All four patients with predominantly radicular syndromes showed improvement.

    Conclusions:

    • The postero-lateral approach is recommended for thoracic disc herniation.
    • Minimally invasive techniques and advanced imaging improve surgical results for thoracic disc herniation.