Soutar R L
Department of Medicine, Aberdeen Royal Infirmary.
Scott Med J. 1990 Aug;35(4):117. doi: 10.1177/003693309003500409.
Herniated thoracic discs are uncommon. Although uncommon, their potential for spinal cord damage makes them an important cause of backache. History and examination may be unhelpful, and even misleading. A diagnostic clue is disc space calcification on plain radiographs. Diagnosis can be confirmed by myelography or CT scanning. Cord compression can be prevented by surgery, which carries a low risk. Herniated thoracic disc should be remembered as a cause of backache in view of its serious, but treatable nature.
胸椎间盘突出并不常见。尽管不常见,但它们导致脊髓损伤的可能性使其成为背痛的一个重要原因。病史和体格检查可能并无帮助,甚至会产生误导。一个诊断线索是X线平片上的椎间盘间隙钙化。脊髓造影或CT扫描可确诊。手术可预防脊髓受压,手术风险较低。鉴于胸椎间盘突出症病情严重但可治疗,应将其视为背痛的一个病因。