Nasser Munir J
Department of Neurosurgery, King Fahd Hospital of the University, King Faisal University, Dammm, Saudi Arabia.
Br J Neurosurg. 2009 Aug;23(4):418-21. doi: 10.1080/02688690802716145.
The objective was to present the safety and efficacy of discectomy in thoracic disc herniation through posterior fenestration. This approach was used to remove six thoracic disc herniations (between T8-H12) in five patients. The follow-up period ranged from 6 months to 3 years. Three patients with spastic paraparesis demonstrated dramatic improvement. Paraparesis improved significantly in one patient, but has recurred 8 months later. Four patients experiencing axial pain reported excellent improvement after operation. This technique appears to be safe, effective and less destructive to the vertebrae. It could be applied easily without instrumentation for stabilization.
目的是介绍经后路开窗髓核摘除术治疗胸椎间盘突出症的安全性和有效性。采用该方法为5例患者摘除了6个胸椎间盘突出（T8 - H12之间）。随访时间为6个月至3年。3例痉挛性截瘫患者症状显著改善。1例患者截瘫明显改善，但8个月后复发。4例有轴向疼痛的患者术后报告症状有显著改善。该技术似乎安全、有效，对椎体的破坏性较小。无需器械固定即可轻松应用。
