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胸椎椎间盘突出症的吸收。2例报告。

Resorption of thoracic disc herniation. Report of 2 cases.

作者信息

Haro Hirotaka, Domoto Toru, Maekawa Shingo, Horiuchi Tadahiro, Komori Hiromichi, Hamada Yoshiki

机构信息

1 Department of Orthopaedic Surgery, Graduate School of Medicine, University of Yamanashi, Japan.

出版信息

J Neurosurg Spine. 2008 Mar;8(3):300-4. doi: 10.3171/SPI/2008/8/3/300.


DOI:10.3171/SPI/2008/8/3/300
PMID:18312085
Abstract

The authors describe 2 cases of thoracic disc herniation, resulting in acute myelopathy without bladder dysfunction or progressive muscular weakness; the herniated disc apparently resorbed without surgical intervention. Thoracic disc herniations are less frequent than cervical or lumbar disc herniations and are usually associated with severe neurological deficits. In these 2 cases, the herniated discs exhibited marked decreases in size, corresponding to a favorable clinical outcome within a few months after the initiation of conservative treatment with prostaglandin E(1) and/or steroids in conjunction with physical therapy. The authors conclude that thoracic herniated discs are capable of undergoing natural resorption and that conservative treatment could be indicated, even in the presence of moderate myelopathy, when the myelopathy is not accompanied by bladder dysfunction or progressive muscular weakness.

摘要

作者描述了2例胸椎椎间盘突出症病例,导致急性脊髓病,但无膀胱功能障碍或进行性肌无力;突出的椎间盘在未进行手术干预的情况下明显吸收。胸椎椎间盘突出症比颈椎或腰椎椎间盘突出症少见,且通常与严重的神经功能缺损有关。在这2例病例中,突出的椎间盘尺寸明显减小,这与在开始使用前列腺素E(1)和/或类固醇结合物理治疗进行保守治疗后的几个月内出现良好的临床结果相对应。作者得出结论,胸椎椎间盘突出症能够自然吸收,并且即使存在中度脊髓病,当脊髓病不伴有膀胱功能障碍或进行性肌无力时,也可考虑进行保守治疗。

相似文献

[1]
Resorption of thoracic disc herniation. Report of 2 cases.

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[10]
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引用本文的文献

[1]
Small Thoracic Disk Herniation without Spinal Stenosis Presenting with Acute Myelopathy: Three Case Reports.

NMC Case Rep J. 2023-11-29

[2]
[Research progress of resorption of lumbar disc herniation].

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[3]
Hui Medicine Moxibustion Promotes the Absorption of Lumbar Disc Herniation and the Recovery of Motor Function in Rats through Fas/FasL Signaling Pathway.

Biomed Res Int. 2022

[4]
Emerging Issues Questioning the Current Treatment Strategies for Lumbar Disc Herniation.

Front Surg. 2022-3-28

[5]
Translational research of herniated discs: current status of diagnosis and treatment.

J Orthop Sci. 2014-7

[6]
Surgical outcomes of posterior thoracic interbody fusion for thoracic disc herniations.

Eur Spine J. 2013-11

[7]
Effects of human midkine on spontaneous resorption of herniated intervertebral discs.

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