thoracic_disc_herniation

Thoracic disc herniation

● comprise only 0.25% of disc herniations, and < 4% of operations for herniated disc

● usually occur at or below T8 (the more mobile portion of the thoracic spine)

● frequently calcified ∴ get CT through the disc (may affect the choice of surgical approach)

● primary indications for surgery: refractory pain, progressive myelopathy

● surgical treatment: laminectomy is usually not appropriate for midline or calcified discs

Thoracic disc herniation epidemiology.

Some are calcified or ossified, impinging on the anterior aspect of the thecal sac. These hard herniated discs are often voluminous and adherent to the thecal sac.

see Thoracic hard disc herniation.

see Thoracolumbar disc herniation.

The sequelae of Scheuermann’s disease probably contribute to the development of symptoms 1) 2) 3) 4).

see Thoracic disc herniation clinical features.

see Thoracic disc herniation diagnosis.

see Thoracic disc herniation treatment.

Yüce İ, Kahyaoğlu O, Çavuşoğlu HA, Çavuşoğlu H, Aydın Y. Midterm outcome of thoracic disc herniations that were treated by microdiscectomy with bilateral decompression via unilateral approach. J Clin Neurosci. 2018 Dec;58:94-99. doi: 10.1016/j.jocn.2018.09.033. Epub 2018 Oct 9. PubMed PMID: 30314918.

see Thoracic disc herniation case reports.


1)
Bradford DS, Garica A. Neurological complications in Scheuermann's disease. A case report and review of the literature. J Bone Joint Surg Am. 1969 Apr;51(3):567-72. PubMed PMID: 5781590.
2)
Chiu KY, Luk KD. Cord compression caused by multiple disc herniations and intraspinal cyst in Scheuermann's disease. Spine (Phila Pa 1976). 1995 May 1;20(9):1075-9. Review. PubMed PMID: 7631238.
3)
Lesoin F, Leys D, Rousseaux M, Dubois F, Villette L, Pruvo JP, Petit H, Jomin M. Thoracic disk herniation and Scheuermann's disease. Eur Neurol. 1987;26(3):145-52. PubMed PMID: 3569368.
4)
VAN LANDINGHAM JH. Herniation of thoracic intervertebral discs with spinal cord compression in kyphosis dorsalis juvenilis (Scheuermann's disease); case report. J Neurosurg. 1954 May;11(3):327-9. PubMed PMID: 13163735.
  • thoracic_disc_herniation.txt
  • Last modified: 2021/03/09 18:54
  • by administrador