McCormick W E, Will S F, Benzel E C
Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA.
Neurosurg Focus. 2000 Oct 15;9(4):e13. doi: 10.3171/foc.2000.9.4.13.
The operative approach for discectomy in the treatment of thoracic disc disease has changed from standard laminectomy to a variety of dorsolateral and ventral approaches. The procedure-related complications have been reported in numerous clinical studies over the last seven decades: death, neurological deterioration, postoperative vertebral column instability, incomplete disc resection, cerebrospinal fluid leak and fistula, infection, misdiagnosis, pulmonary embolism, pneumonia, and intercostal neuralgia. The authors conducted a Medline search to identify series reporting clinical data related to thoracic discectomy. They analyzed the morbidity and mortality resulting from the various surgical approaches for thoracic disc disease, with special attention to the avoidance and management of surgery-related complications.
治疗胸椎间盘疾病时，椎间盘切除术的手术方式已从标准椎板切除术转变为多种后外侧和前路手术方式。在过去七十年中，众多临床研究报道了与该手术相关的并发症：死亡、神经功能恶化、术后脊柱不稳定、椎间盘切除不完全、脑脊液漏和瘘、感染、误诊、肺栓塞、肺炎以及肋间神经痛。作者进行了一项医学文献数据库（Medline）检索，以识别报告与胸椎间盘切除术相关临床数据的系列研究。他们分析了胸椎间盘疾病各种手术方式导致的发病率和死亡率，特别关注手术相关并发症的预防和处理。
