Study Design. A double, contiguous disc herniation in the thoracic spine (T7-T3, T8-T9) in a 44-year-old man is reported, The patient complained of intermittent episodes of wetness find numbness in the lower tremities. paraestheslas ra dialing to the ant-srlor and medial surfaces af the thigh and the Jeg ImosUy on the teft side, and milrf serual snd urinary dysfunction. Objactiva. The treatment must achieve comp law Card decompression, pruvant furtherion. end prevent iatrogenic vascular damage to the cord A transthoracic approsch seems 10 offer tha largesi Surgical view. Kiimmr.iv rtl Background Data. Twenty-six other cases of two-level thoracic disc horniailon ware found in the literature, only five nf which were treated with a transthnr.fieic snprosch. Methods. Treatment consisted of complete disc excision [T7 Tfi and TB Ta| with a right anterior trons thoracic approach. Complete and safe removal of ihe discs rutjuirctJ li mn icu rpa recta mv of T8 and subsequent grafting end plating, Spinal cord angiography, showing the AdamkiflwlC2 artery Originating from the luft TO, was parlormed before surgery. Computed to mographyguided me;hy one blue injection in the natrapleural interspace of T7-T8 was done for intreoperative level localization. Results. At 1 year follow-up, complute rdinf of neurologic symptoms was observed, as was solid interbody fusion, Conclusion. In this case, a tranathoracic approach was safe and effective for disc excision and cord decompression via hermicorporectomy.
|Number of pages||6|
|Publication status||Published - 1994|
- Disc hornlation
- Thoracic spine
ASJC Scopus subject areas
- Clinical Neurology
- Orthopedics and Sports Medicine