胸椎间盘突出症经后路椎间孔入路椎体间融合术：38 例回顾性研究。
Posterolateral transforaminal interbody fusion for thoracic disc herniation: a retrospective study of 38 cases.
机构信息
Department of Spinal Surgery, The Third Affiliated Hospital of Hebei Medical University, Shijiazhuang, China.
出版信息
Orthop Surg. 2009 Nov;1(4):280-4. doi: 10.1111/j.1757-7861.2009.00048.x.
OBJECTIVE
To evaluate the clinical results of posterolateral transforaminal interbody fusion (PTIF) for the treatment of thoracic disc herniation (TDH).
METHODS
Thirty-eight patients with TDH were treated with PTIF in our hospital from November 1999 to November 2003. The mean follow-up period was 5.8 years (range, 4.2 to 6.5 years). There were 24 men and 14 women, ranging from 30.5 to 67.5 years, with an average of 46.5 years. The interval between onset of symptoms and surgery ranged from 5 to 12 months with an average of 9 months. In this group, the disc herniation involved T(9-10) or T(10-11) in 26 (68.5%) patients, T(8-9) in 4 (10.5%), T(11-12) in 4 (10.5%) and T(12)L(1) in 4 (10.5%). All patients underwent X-ray and magnetic resonance imaging (MRI) examination. Twenty-two patients underwent myelography, while 25 patients underwent computer tomography (CT) or CT myelography (CTM) examination. The clinical results were evaluated using the Otani scoring system.
RESULTS
The outcome according to the Otani scoring system was excellent in 16 patients, good in 18, fair in 2 and poor in 2. No neurological symptoms, wound infection or clinical or radiographic evidence of instability were found; and the fusion rate was 100% by final follow-up. An excellent or good outcome was achieved in 89.5% of patients.
CONCLUSION
PTIF is an effective strategy for the treatment of TDH.
目的
评估经椎间孔胸椎间盘切除术（PTIF）治疗胸椎间盘突出症（TDH）的临床效果。
方法
1999 年 11 月至 2003 年 11 月，我院对 38 例 TDH 患者采用 PTIF 治疗。平均随访 5.8 年（4.26.5 年）。男 24 例，女 14 例；年龄 30.567.5 岁，平均 46.5 岁。症状出现至手术时间 5~12 个月，平均 9 个月。本组病变位于 T9-10 或 T10-11 节段 26 例（68.5%），T8-9 节段 4 例（10.5%），T11-12 节段 4 例（10.5%），T12-L1 节段 4 例（10.5%）。所有患者均行 X 线和磁共振成像（MRI）检查，22 例行脊髓造影，25 例行 CT 或 CT 脊髓造影（CTM）检查。采用 Otani 评分系统评估临床疗效。
结果
按 Otani 评分系统评定疗效，优 16 例，良 18 例，可 2 例，差 2 例。无神经症状加重、伤口感染及临床或影像学不稳定表现，末次随访融合率 100%。优良率为 89.5%。
结论
PTIF 是治疗 TDH 的有效方法。
Zotero 插件