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Intradural thoracic disc herniation

J L Stone1, T Lichtor, S Banerjee

  • 1Division of Neurosurgery, Cook County Hospital, Chicago, Illinois.

Spine
|June 1, 1994
PubMed
Summary
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This study presents two cases of rare calcified intradural herniated discs in the mid-thoracic spine. Surgical management using a posterolateral extracavitary approach proved successful for these challenging spinal conditions.

Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Radiology

Background:

  • Intradural herniation of intervertebral discs is a rare condition, predominantly seen in the lumbar region.
  • While case reports exist, detailed surgical management for intradural herniated discs, especially at the thoracic level, remains inadequately addressed.

Observation:

  • Two patients presented with progressive paraparesis due to calcified intradural herniated discs in the mid-thoracic spinal canal.
  • Surgical intervention was performed using a posterolateral extracavitary costotransversectomy and hemilaminotomy.

Findings:

  • Successful surgical treatment was achieved in both cases.
  • Intraoperative ultrasound and somatosensory-evoked potential monitoring were utilized during the procedures.
  • The posterolateral extracavitary costotransversectomy with hemilaminotomy was identified as the optimal surgical approach.

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Implications:

  • Calcified intradural herniated discs should be suspected in cases of calcified discs within the spinal canal.
  • The described surgical technique offers an effective solution for managing these rare thoracic spinal pathologies.
  • This approach may be superior to standard thoracic disc surgery for intradural herniations.