Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W., Rochester, MN, 55905, USA.
Int Orthop. 2019 Apr;43(4):817-823. doi: 10.1007/s00264-018-04282-x. Epub 2019 Jan 21.
Thoracic disc herniations are a relatively rare occurrence compared to disc herniations in the cervical or lumbar spine. Surgical management of these thoracic herniations can be technically difficult with a wide array of reported complications. In this study, we aim to describe the most common complications that can occur during or after surgical management of thoracic disc herniations. Furthermore, we describe tips and tricks for avoidance and, if necessary, management of surgical complications. Common complications addressed in this review include vertebral column instability, neurologic injury, cerebrospinal fluid leak/pleural fistula, thoracic viscera injury, wrong level surgery, incomplete disk resection, and intercostal neuralgia.
与颈椎或腰椎间盘突出症相比，胸椎间盘突出症较为少见。这些胸椎疝的手术治疗可能具有一定技术难度，且有广泛报道的并发症。本研究旨在描述在胸椎间盘突出症的手术治疗过程中或之后最常见的并发症。此外，我们还描述了避免这些并发症的技巧，如果有必要，还描述了处理这些手术并发症的方法。本综述中讨论的常见并发症包括脊柱柱不稳定、神经损伤、脑脊液漏/胸腔瘘、胸内脏器损伤、手术部位错误、椎间盘切除不完全和肋间神经痛。
