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Transthoracic disc excision and fusion for herniated thoracic discs
B L Currier1, F J Eismont, B A Green
1Department of Orthopedics, Mayo Clinic, Rochester, Minnesota.
Spine
|February 1, 1994
Summary
Transthoracic discectomy and fusion effectively treat herniated thoracic discs. This surgical approach offers a safe and effective solution for patients without prior laminectomy or multiple sclerosis.
Area of Science:
- Neurosurgery
- Spinal Surgery
Background:
- Herniated thoracic discs can cause significant neurological deficits.
- Surgical intervention is often necessary for central or central-lateral disc herniations.
Purpose of the Study:
- To evaluate the safety and efficacy of transthoracic discectomy and fusion for herniated thoracic discs.
- To assess outcomes in patients with and without complicating factors.
Main Methods:
- Retrospective analysis of 19 patients undergoing transthoracic discectomy and fusion.
- Assessment of preoperative symptoms including myelopathy, bowel/bladder dysfunction, and pain.
- Evaluation of postoperative outcomes based on prior laminectomy and coexistent multiple sclerosis.
Main Results:
- 14 patients presented with myelopathy, 5 with bowel/bladder dysfunction, and 13 with pain.
- Prior laminectomy negatively impacted outcomes in 3 patients.
- Two patients with multiple sclerosis experienced atypical postoperative courses.
- In patients without prior laminectomy or MS, 6 had excellent, 6 good, 1 fair, and 1 poor outcomes.
Conclusions:
- Transthoracic discectomy and fusion is a safe and effective procedure for central/central-lateral herniated thoracic discs.
- Preexisting laminectomy and multiple sclerosis can complicate surgical outcomes.
- Careful patient selection is crucial for optimal results.