Diagnosis and treatment of thoracic intervertebral disc protrusions

Carson, James A.; Gumpert, John; Jefferson, Antony

doi:10.1136/jnnp.34.1.68

Cited by 176 publications

(77 citation statements)

References 18 publications

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“…All of the patients in this series deteriorated following laminectomy. More satisfactory results have been reported with the posterolateral approach (Capener, 1954;Hulme, 1960;Chesterman, 1964;Carson, Gumpert and Jefferson, 1971;Jefferson, 1975).…”

Section: Discussionmentioning

confidence: 91%

“…Key in 1838 is reported to have described cord injury secondary to thoracic intervertebral disc protrusion in an autopsy specimen (Carson, Gumpert and Jefferson, 1971). Several authors since that time have documented cases of cord injury resulting from thoracic disc prolapse (Middleton and Teacher, 19II;Mixter and Barr, 1934;Hawk, 1936;Haley and Perry, 1950;Logue, 1952;Love and Schorn, 1965).…”

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confidence: 99%

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Paraplegia as a sequela to dorsal disc prolapse

1981

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Section: Discussionmentioning

confidence: 91%

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confidence: 99%

Paraplegia as a sequela to dorsal disc prolapse

1981

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“…In contrast, symptomatic forms are rare. Carson et al [10] estimated the annual incidence of symptomatic thoracic herniated discs to be one case in a million. Other authors have reported less than 0.5% of surgical procedures for herniated discs involving a thoracic disc [2,20].…”

Section: Introductionmentioning

confidence: 99%

Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

et al. 2006

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The authors retrospectively reviewed a series of 18 hard thoracic herniated discs (HTHD) operated by thoracoscopy. Isolated cases of HTHD have been reported in the literature, but no series describing these lesions has been published. Seventy-two percent of the herniated discs were situated between T8 and T12. Fifty-six percent of the patients had radiographic sequelae of Scheuermann's disease. Postoperatively, 83% had neurological improvement. In seven cases (39%), a plane separating the herniated disc and the dura mater was found surgically. In 11 patients, no separating plane was found during surgery. The lesion was intradural in three patients (17%) and adherent to the dura mater in eight (44%). Among these 11 patients, surgery was complicated by a dural tear in the first seven that led to a high risk of cerebrospinal fluid fistula: four of these seven patients had required surgical revision. In the last four, the zone of adhesion of the HTHD to the dura mater was preserved, successfully preventing dural tear Keywords Calcified thoracic disc herniation AE MRI AE Scheuermann AE Thoracic spine AE Thoracoscopy Eur Spine J (2006) 15: 537-542

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“…4 Arce and Dhormann 5 reported that 75% of cases occurred below T8, whereas 3% of cases occurred between T1 and T2, and less than 1% occurred between T2 and T3. Disk degeneration is the main causing factor.…”

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Thoracic Disk Herniation, a not Infrequent Cause of Chronic Abdominal Pain

Lara¹,

Berges

Quesada³

et al. 2012

International Surgery

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This study assesses the proportion of patients presenting with nonvisceral chronic abdominal pain who have thoracic disk herniation as a possible cause. We designed a descriptive transversal study of patients attending our offices between February 2009 and October 2010, with a complaint of chronic abdominal pain of suspected abdominal wall source (positive Carnett sign). Nuclear magnetic resonance (NMR) of the spinal column was performed on all patients. When the NMR showed thoracic disk herniation the patients were treated according to their etiology. We also evaluated the symptoms in patients with thoracic disk herniation and their response to the applied treatment. Twenty-seven patients with chronic abdominal pain were evaluated. The NMR results in 18 of these 27 patients (66.66%) showed evidence of disk herniation. We report on the results of these 18 patients, emphasizing that the symptoms are florid and varied. Many patients had been previously diagnosed with irritable bowel syndrome. Thoracic disk herniation may account for chronic abdominal pain in many patients who remain undiagnosed or are diagnosed with irritable bowel syndrome. Thus, this possibility needs to be taken into account to achieve a correct diagnosis and a suitable mode of treatment.

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Diagnosis and treatment of thoracic intervertebral disc protrusions

Cited by 176 publications

References 18 publications

Paraplegia as a sequela to dorsal disc prolapse

Paraplegia as a sequela to dorsal disc prolapse

Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

Thoracic Disk Herniation, a not Infrequent Cause of Chronic Abdominal Pain

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