Paraplegia as a sequela to dorsal disc prolapse

Terry, Arthur F.; McSweeney, Terrence; Jones, Helen

doi:10.1038/sc.1981.25

Cited by 12 publications

(4 citation statements)

References 31 publications

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“…Previous studies have demonstrated inconsistencies in whether the anterior or posterolateral approach is associated with a greater rate of complications, including paraplegia and death (1,(13)(14)(15). However, our study did not find significantly different rates of perioperative complications including death, urinary tract infection, pneumonia, sepsis, bleeding transfusions, unplanned intubation, readmission, reoperation within the general or matched cohort.…”

Section: Perioperative Complicationscontrasting

confidence: 78%

“…Finally, the NSQIP does not include all complications that could be of interest in TDH repairs; it does not provide data on neurologic degeneration following surgery (e.g., paraplegia, hemiplegia), while past studies have documented neurologic degeneration as a complication of both approaches (Table 3) (1,4,8,(13)(14)(15). This is a large limitation, as reported rates of neurologic deficits following surgery range from 1.3-4% in anterior approaches and from 0.9-28.6% in posterolateral approaches in reviews and case series (1,4,8,(13)(14)(15). Rarer neurological outcomes reported in case reports of anterior approaches include abducens nerve palsy and intercostal nerve pain (17,18).…”

Section: Study Limitationsmentioning

confidence: 99%

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Non-neurological outcomes of anterior and posterolateral approaches in the surgical treatment of thoracic disc disease: a retrospective study

et al. 2018

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Section: Perioperative Complicationscontrasting

confidence: 78%

Section: Study Limitationsmentioning

confidence: 99%

Non-neurological outcomes of anterior and posterolateral approaches in the surgical treatment of thoracic disc disease: a retrospective study

et al. 2018

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“…The flexibility granted by this procedure allows it to be used for the treatment of several spinal disorders including abnormalities of thoracic discs, tumors (primary and metastatic), infection, trauma, and deformity. 2,3,5,[7][8][9]13,15,[17][18][19][20][21][22] Despite these advantages, there are several drawbacks to this procedure. 5,9,13,19 The degree of difficulty posed by the operation requires experience, expertise, and a working knowledge of thoracic and retroperitoneal anatomical structures.…”

Section: The Lateral Extracavitary Approachmentioning

confidence: 99%

Evolution of the lateral extracavitary approach to the spine

Lifshutz¹,

Lidar²,

Maiman³

2004

FOC

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The development of alternative approaches to spine disorders marked an evolutionary change in the methods by which surgeons address diseases that affect the ventral portion of the spine. From the advent of spinal surgery until quite recently, physicians used posterior approaches almost exclusively for the treatment of all pathological processes. Surgeons subsequently became frustrated and disenchanted with outcomes of patients with anterior vertebral body disease when these procedures were applied. This sentiment is best reflected in the surgical thought related to Pott disease. In this paper, the authors chart the development of an influential approach to the spine that is designed to address these issues: the lateral extracavitary approach. They trace its origins to early precursor procedures and follow its use in current practice for the treatment of a variety of spinal disorders. They also examine its applications, role, and continued importance in the age of minimally invasive surgery.

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“…The risk of performing surgery at the wrong spinal level is ever present and obliges the surgeon to be vigilant and definitive in identifying the appropriate surgical level. 2,35 As stated earlier, the treatment of herniated thoracic discs has undergone significant changes since the first surgeries were attempted. Early cases were treated solely via a dorsal approach and involved a significant risk of causing irreversible paraplegia, 12,13 with operative mortalities approaching 10%.…”

mentioning

confidence: 99%

Treatment of thoracic disc herniation: evolution toward the minimally invasive thoracoscopic technique

Burke¹,

Caputy²

2000

FOC

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Thoracic disc herniation has always carried with it the potential for serious adverse neurological consequences if not treated appropriately. The authors review the historical evolution of treatment for thoracic disc herniation from the early surgical series using dorsal approaches (which were known to involve a significant risk of paraplegia) to later surgical series in which lateral and then ventral approaches to the disc were increasingly emphasized, with significant improvement in patient outcome. The evolution of minimally invasive thoracoscopic techniques is discussed, together with the results of several surgical series demonstrating significant reductions in morbidity compared with more traditional methods. The technique of thoracoscopic discectomy is presented in detail.

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Paraplegia as a sequela to dorsal disc prolapse

Cited by 12 publications

References 31 publications

Non-neurological outcomes of anterior and posterolateral approaches in the surgical treatment of thoracic disc disease: a retrospective study

Non-neurological outcomes of anterior and posterolateral approaches in the surgical treatment of thoracic disc disease: a retrospective study

Evolution of the lateral extracavitary approach to the spine

Treatment of thoracic disc herniation: evolution toward the minimally invasive thoracoscopic technique

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