Department of Neurosurgery, Azienda Ospedaliero-Universitaria di Modena Ospedale Civile di Baggiovara, Modena, Italy.
Department of Medicine, University of Minnesota Medical School Twin Cities, Minneapolis, Minnesota, United States.
J Neurol Surg A Cent Eur Neurosurg. 2021 Mar;82(2):182-185. doi: 10.1055/s-0040-1712501. Epub 2020 Dec 1.
Thoracic disk herniation (TDH) after traumatic injury is a relatively uncommon disease with few cases reported in the literature. Herniated disks in this location typically may result in progressive myelopathy and refractory pain. In the presence of these symptoms, surgical treatment may be indicated since spontaneous regression in this area is less common than that of disk herniations in the cervical or lumbar spine. Herein, we present the case of giant traumatic TDH that occurred at the T9-T10 level and spontaneously resolved after 5 months.We highlight the fact that regression of a herniated disk at the thoracic level may occur even in the absence of treatment. When considering this phenomenon, conservative management of these cases with clinical and radiological monitoring may be an appropriate first-line management for patients without signs of progressive myelopathy or severe refractory pain.
外伤性胸椎间盘突出症(TDH)较为少见,文献报道病例较少。该部位突出的椎间盘通常可导致进行性脊髓病和难治性疼痛。如果存在这些症状,可能需要手术治疗,因为该部位的自发性缓解比颈椎或腰椎间盘突出症少见。在此,我们报告一例 T9-T10 水平巨大外伤性 TDH 病例,5 个月后自发缓解。我们强调,即使不进行治疗,胸段椎间盘突出症也可能会缓解。考虑到这种现象,对于无进行性脊髓病或严重难治性疼痛迹象的患者,临床和影像学监测下的保守治疗可能是一种合适的一线治疗方法。