Surgical treatment of thoracic disk herniation and its results
Keywords:
herniated discs, thoracic spine, treatmentAbstract
During the period 1990 till 2003 years at 58 patients the surgical treatment of a thoracic hernias were carried out. From 58 patients at 2 the hernias at a level ТI–II, 1 — ТII–III, 1 — ТIV–V, 3 — ТV–VI, 6 — ТVI–VII, 8 — ТVII–VIII, 5 — ТVIII–IX, 17 — ТIX–X, 7 — ТX–XI, 8 — ТXI–XII took place. From 58 patients 22 patients had small disk herniation (decrease the canal on 0–10%), 25 medium (>10–20%), and 11 large (>20%). Among 58 patients 7 had central disk herniation, 19 paramedian and 32 lateral. The standard back access with laminectomy were used in 21 patients, the transthoracic access in 2 patients, lateral extracavitary access in 5 patients, transfacet pedicle-sparing in 7 patients, and transpedicular approach in 23 patients.
Surgical approaches and the results of treatment were compared between groups of the patients with various disk herniation types. In the postoperative period decrease or the disappearance of a pain was marked in 40 patients, decrease of motor disturbances in 31 patients, improvement of sensitivity in 39 patients, improvement of bower or bladder function in 8 patients, decrease segmentary or radicular signs in 17 patients. In 4 patients the permanent increase in the severity of the preoperative neurology symptoms took place, at 8 patients the increases was temporary. In 10 of these patients for access was used laminectomy.
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Copyright (c) 2004 E. I. Slynko, A. I. Pastushin, V. V. Verbov, A. M. Zolotoverch
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