CLINICAL RESULTS OF CALCIFIED THORACIC DISC HERNIATION TREATED WITH A TRANSPEDICULAR APPROACH
Journal Title: Journal of Turkish Spinal Surgery - Year 2014, Vol 25, Issue 4
Abstract
Introduction: Symptomatic thoracic disc herniations (TDHs) are relatively rare and challenging due to the wide variety of clinical presentations, a lack of consensus on the surgical indications, and the variety of surgical approaches. Our objective was to describe our series of calcified thoracic disc herniations and their outcomes. Materials and Methods: A retrospective cohort study of ten patients with calcified TDH received surgery between 2008 and 2013. Data were collected by reviewing the patients’ notes and radiological studies, and included basic demographic data, clinical presentation and outcome, operative procedure, and complications. The ten patients included six males and four females (mean age: 35.6 years, range: 22–58 years). The mean follow-up was 28.1 (12–48) months. All patients received surgery with a transpedicular approach, and posterior transpedicular stabilization was performed for seven patients. Results: In the preoperative period, three patients were Nurick grade 1, two were grade 2, three were grade 3, and two were grade 4. Surgical treatment obtained satisfactory results and the Nurick grade improved in all of the patients (100%), with five patients postoperatively Nurick grade 0, and five patients Nurick grade 1. The mean Nurick grade improved from 2.4 to 0.5. Conclusion: Calcified TDH remains a surgical challenge. The goal of surgery is to decompress the neural elements without any manipulation of the spinal cord aside from that required by the surgical technique. When adequately diagnosed and treated, satisfactory results can be achieved.
Authors and Affiliations
Nuri Eralp CETİNALP, Kerem Mazhar ÖZSOY, Halil İbrahim SEÇER, Serdar KAHRAMAN, İ. Teoman BENLİ
Keywords
Related Articles
- EP ID EP676818
- DOI -
- Views 117
- Downloads 0
THE IMPORTANCE OF DIFFUSION MRI IN EVALUATION OF VERTEBRAL METASTASES
Objective: The contribution of diffusion-weighted MRI to differential diagnosis between metastasis-pathologic vertebral fracture and osteoporotic vertebral fracture was investigated. Materials and Method: This stu...
A PEDICLE SCREW MODIFICATION FOR THE HARTSHILL SYSTEM : BIOMECHANICAL AND CLINICAL RESULTS
The Ilartshill Rectangle with sublaminar wiring has become widely accepted in the management of a variety of spinal disorders. However, in certain circumstances in the lumbar spine, in particular in the presence of a spo...
MEASUREMENT OF CERVICAL LORDOSIS WITH DIFFERENT METHODS
Aim: The purpose of this study is therefore to compare Cobb angles, Jackson stress lines and Harrison tangents methods to measure the cervical lordosis angle using lateral cervical X-ray graphics and collect nominativ...
UPDATE MECHANISTIC CLASSIFICATION OF THE THORACOLUMBAR SPINE FRACTURES AND A NEW THREE COLUMN CONCEPT İN SPINAL STABILITY
To include ali the fracture patterns and the soft tissue lesions we made a new classification system according to the mechanism of the fractures from our clinical experience in Haydarpaşa Numune Hospital. İn this classif...
LASER DISCECTOMY İN CERVîCAL DISC HERNIATIONS
Since March 1993, percutaneous intradiscaf İaser nucleotomy had been used in our department for the treaiment of a selected group of patients with herniated cervica! disc disease. We operaîed 59 paîients until January 19...