Multilevel Thoracic Disk Herniations

Alvarez, Orlando; Roque, C.; Pampati, Mahender

doi:10.1097/00004728-198807000-00024

Cited by 28 publications

(10 citation statements)

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“…2,[4][5][6][7][8][9][10][11][12] Most thoracic disc herniations are found in the lower thoracic spine with more than 75% occurring below T8, mainly at T11/12. 1,[8][9][10][13][14][15][16][17][18][19][20] The aetiology is thought to be weakness of the posterior longitudinal ligament and increased mobility of the lower thoracic spine. 4,9,14,21 In addition, in the thoracic spine, the ratio of the diameter of the spinal cord to that of the spinal canal is large and the blood supply in this region is limited.…”

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confidence: 99%

Anterior decompression and fusion for multiple thoracic disc herniation

Ohnishi

Miyamoto

Kanamori

et al. 2005

The Journal of Bone and Joint Surgery. British volume

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Multiple thoracic disc herniations are rare and there are few reports in the literature. Between December 1998 and July 2002, we operated on 12 patients with multiple thoracic disc herniations. All underwent an anterior decompression and fusion through a transthoracic approach. The clinical outcomes were assessed using the Frankel neurological classification and the Japanese Orthopaedic Association (JOA) score. Under the Frankel classification, two patients improved by two grades (C to E), one patient improved by one grade (C to D), while nine patients who had been classified as grade D did not change. The JOA scores improved significantly after surgery with a mean recovery rate of 44.8% +/- 24.5%. Overall, clinical outcomes were excellent in two patients, good in two, fair in six and unchanged in two. Our results indicate that anterior decompression and fusion for multiple thoracic disc herniations through a transthoracic approach can provide satisfactory results.

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confidence: 99%

Anterior decompression and fusion for multiple thoracic disc herniation

Ohnishi

Miyamoto

Kanamori

et al. 2005

The Journal of Bone and Joint Surgery. British volume

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“…Despite the prevalence of thoracic disc degeneration using MRI assess ments was almost 15% in men aged <50 years and rose to 80% in men aged ≥80 years 7) , the incidence of symptomatic thoracic disc herniation reported in the literature is between 0.25% and 0.75% of all intervertebral disc herniations 3,8 -10) , resulting in < 2% of all spinal disc surgeries performed 3,8,11) . Degeneration is the primary etiology of thoracic disc herniation, but acute trauma has also been reported to be an important factor, especially in young patients 2,3) .…”

Section: Discussionmentioning

confidence: 99%

Unusual chest wall pain caused by thoracic disc herniation in a professional baseball pitcher

Kato

Yabuki

Otani

et al. 2016

FJMS

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Symptomatic thoracic disc herniation is clinically rare. There are few cases of disc herniation of the thoracic spine in top athletes described in the literature. We herein present a rare case of chest wall pain due to thoracic disc herniation in a professional baseball pitcher. A 30 -year -old, lefthanded pitcher complained of left -sided chest wall pain in the region of his lower ribs during a game. Neurological examination revealed hypoesthesia of the left side of the chest at the level of the lower thoracic spine. Magnetic resonance imaging (MRI) of the thoracic spine showed a leftsided paramedian disc herniation at the T9 -T10 level. The player was initially prescribed rest, administration of pregabalin (150 mg twice a day), and subsequent physical rehabilitation. He was able to resume full training and pitching without medication 6 months after the onset. A follow -up MRI of the thoracic spine showed a reduction in the size of the herniated disc compared to the initial findings. Though relatively rare, thoracic disc herniation should be considered in cases of chest wall pain in athletes.

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“…1,2,7 Degeneration is the primary etiology of thoracic disc herniation, but acute trauma has also been reported to be an important factor, especially in young patients. 1,2 There are a few studies following the natural history of thoracic disc herniations.…”

Section: Discussionmentioning

confidence: 99%