Malawski S
Klinika Ortopedii, Centrum Medyczne Kształcenia Podyplomowego w Otwocku.
Chir Narzadow Ruchu Ortop Pol. 1999;64(2):147-57.
The history of thoracic intervertebral disc herniation recognition as a distinct condition is presented on the ground of the literature. Pathogenesis, pathology, clinical signs and symptoms, diagnostics and differentiation is discussed. Evolution of surgical methods from laminectomy, through thoracotomy to lateral approach is presented. Comparison of results achieved by different methods proved disadvantageous for laminectomy. Increasing over recent decades contribution of orthopedic surgeons in treatment of thoracic intervertebral disc herniation is underlined. The issue is rarely present in Polish literature, thus the need to introduce it to orthopedic surgeons.
本文基于文献介绍了胸椎椎间盘突出症作为一种独特病症被认识的历史。讨论了其发病机制、病理、临床体征和症状、诊断及鉴别诊断。介绍了手术方法从椎板切除术、开胸手术到侧方入路的演变。不同方法所取得结果的比较证明椎板切除术存在弊端。强调了近几十年来骨科医生在胸椎椎间盘突出症治疗中作用的不断增加。该问题在波兰文献中很少出现,因此有必要向骨科医生介绍这一情况。