Thoracic disc herniations: diagnosis, surgical techniques, and complication insights
Mehmet Denizhan Yurtluk1, Aydın Sinan Apaydin2, Hakan Kina3
1School of Medicine, Bezmialem Vakıf University, İstanbul, Turkiye.
Turkish Journal of Medical Sciences
|March 19, 2025
Summary
Thoracic disc herniations (TDHs) are rare spinal conditions. This review covers their clinical presentation, diagnosis, surgical treatments, and potential complications.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Radiology
Background:
- Thoracic disc herniations (TDHs) are uncommon, accounting for 0.1% to 5% of all disc herniations.
- The T11-T12 level is most frequently affected, often linked to trauma or conditions like Scheuermann's disease.
Purpose of the Study:
- To review the clinical manifestations, diagnostic modalities, surgical techniques, and complications of TDHs.
- To provide insights into managing this rare spinal condition.
Main Methods:
- Literature review of clinical presentations, diagnostic imaging (MRI, CT myelography), and surgical approaches (posterolateral, lateral, anterior).
- Analysis of associated complications, including neurological deficits and dural breaches.
Main Results:
- Clinical presentation commonly includes thoracic back pain, with neurological deficits possible for large, central herniations.
- Diagnosis relies on advanced imaging; surgical intervention is indicated for failed conservative care or acute cord compression.
Conclusions:
- TDHs require careful diagnosis and tailored surgical strategies.
- Understanding potential complications is crucial for patient management.
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