Kriuchkov V V, Maĭlybaev M N
Zh Vopr Neirokhir Im N N Burdenko. 2005 Apr-Jun(2):12-5; discussion 15-6.
Hemiation of the thoracic intervertebral disk is a rare pathology causing a severe neurological deficit. Of all the disk hernias, thoracic ones account for less than 1%. Thirty-five patients have been operated on for 12 years, by using the following methods: posterior approach (laminectomy) (n = 2), lateral extrapleural approach (n = 8), anterior (transthoracic) approach (n = 25). Out of the 35 patients operated on, there were 2 patients who felt worse after surgery via posterior approach, 6 patients had no changes, and positive changes were observed in 26 cases. For resection of hernias of the thoracic intervertebral disk, it is necessary to apply either transpleural (for Th(VI)-Th(XII) hernias) or lateral extrapleural (Th(I)-Th(VI)) approaches. Laminectomy is inadmissible.
胸椎间盘突出是一种罕见的病理情况，可导致严重的神经功能缺损。在所有椎间盘突出症中，胸段的占比不到1%。12年间，35例患者接受了手术，采用了以下方法：后路手术（椎板切除术）（n = 2）、外侧胸膜外手术（n = 8）、前路（经胸）手术（n = 25）。在接受手术的35例患者中，有2例后路手术后情况恶化，6例无变化，26例观察到有积极变化。对于胸椎间盘突出的切除，有必要采用经胸膜（用于胸段（VI）-胸段（XII）突出）或外侧胸膜外（胸段（I）-胸段（VI））手术方法。椎板切除术不可取。
