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Thoracic outlet syndrome: diagnostic evaluation by analgesic cervical disk puncture
Clinical Orthopaedics and Related Research
|May 1, 1981
Summary
Analgesic cervical disk puncture can help diagnose thoracic outlet syndrome. A negative test result before first rib resection surgery indicated excellent outcomes, unlike patients without this diagnostic test.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
Background:
- Thoracic outlet syndrome (TOS) presents diagnostic challenges.
- First rib resection is a common surgical treatment for TOS.
Purpose of the Study:
- To evaluate the utility of analgesic cervical disk puncture in diagnosing TOS.
- To determine if preoperative diskogenic evaluation impacts surgical outcomes.
Main Methods:
- Nineteen patients with TOS underwent first rib resection.
- Nine patients were preoperatively assessed using analgesic cervical disk puncture.
- Surgical outcomes were compared between patients with and without disk puncture evaluation.
Main Results:
- Overall excellent surgical outcomes were achieved in 68% of patients.
- Patients with a negative disk puncture test had 100% excellent late postoperative results (7/7).
- Outcomes were significantly better than in patients evaluated without the disk puncture test.
Conclusions:
- Analgesic cervical disk puncture is a valuable differential diagnostic tool for suspected TOS.
- Preoperative diskogenic evaluation can predict surgical success in TOS patients.
- This diagnostic approach may improve patient selection for first rib resection.