Simpson J M, Silveri C P, Simeone F A, Balderston R A, An H S
Department of Orthopaedics, Thomas Jefferson University Hospital, Pennsylvania Hospital, Philadelphia.
Spine (Phila Pa 1976). 1993 Oct 1;18(13):1872-7.
A consecutive series of 23 thoracic disc herniations in 21 patients treated between 1980 and 1988 were reviewed. All patients were decompressed through a posterolateral approach (costotransversectomy or transpedicular). Pain and weakness were the most common presenting symptoms. Twenty-one thoracic disc herniations in 19 patients were available for long-term follow-up, averaging 58.1 months. Sixteen patients had an excellent or good result. Three patients had a fair result. There were no poor results. All six patients with significant preoperative lower extremity weakness improved. Pain was relieved in 16 patients and reduced in three. There were no significant neurologic complications associated with the procedure. Posterolateral decompression for thoracic disc herniation remains a viable alternative without the inherent risk and morbidity of the transthoracic approach.
回顾了1980年至1988年间治疗的21例患者的连续23例胸椎间盘突出症。所有患者均通过后外侧入路（肋骨横突切除术或经椎弓根）进行减压。疼痛和无力是最常见的首发症状。19例患者的21个胸椎间盘突出症可进行长期随访，平均随访58.1个月。16例患者结果为优或良。3例患者结果为尚可。无结果差的患者。所有6例术前下肢明显无力的患者均有改善。16例患者疼痛缓解，3例患者疼痛减轻。该手术未出现明显的神经并发症。胸椎间盘突出症的后外侧减压仍然是一种可行的选择，没有经胸入路固有的风险和发病率。
