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Herniated thoracic disks.

C A Arce, G J Dohrmann

    Neurologic Clinics
    |May 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Thoracic disc herniation is rare but often presents with spinal cord compression. Early diagnosis using CT scans and improved surgical techniques significantly enhance patient prognosis.

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    Area of Science:

    • Neurosurgery
    • Orthopedic Surgery
    • Radiology

    Background:

    • Thoracic disc herniation is an uncommon condition, accounting for 0.25-0.75% of all disc protrusions.
    • Peak incidence occurs in the fourth decade, with most herniations located below T8.
    • Pain is the most frequent initial symptom, followed by sensory and motor deficits.

    Purpose of the Study:

    • To review the incidence, presentation, diagnostic modalities, and surgical outcomes of thoracic disc herniation.
    • To highlight advancements in diagnostic imaging and surgical techniques for improved patient management.

    Main Methods:

    • Review of existing literature on thoracic disc herniation.
    • Analysis of diagnostic accuracy of myelography versus CT scanning.
    • Evaluation of surgical success rates for different approaches.

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    Main Results:

    • 90% of patients exhibit signs of spinal cord compression at diagnosis.
    • Myelography has limitations, including an 8% false-negative rate and 56% preoperative diagnostic accuracy.
    • CT scanning, particularly with metrizamide, offers improved diagnostic accuracy, even in myelography-negative cases.
    • Surgical approaches other than laminectomy demonstrate over 80% success rates.

    Conclusions:

    • Early and accurate diagnosis of thoracic disc herniation is crucial.
    • CT scanning represents a significant advancement in diagnosing this condition.
    • Improved surgical techniques lead to better outcomes, offering a more favorable prognosis.