Ridenour T R, Haddad S F, Hitchon P W, Piper J, Traynelis V C, VanGilder J C
Department of Surgery, University of Iowa College of Medicine, Iowa City 52242-1061.
J Spinal Disord. 1993 Jun;6(3):218-24. doi: 10.1097/00002517-199306030-00006.
The optimal surgical approach for thoracic disk herniation is controversial, and long-term follow-up is poorly documented. We retrospectively reviewed the records of 31 patients who underwent surgery for herniated thoracic disks at our institution during a 17-year period (1975-1992). Two patients had multiple disk herniations; 16 of 33 herniated disks occurred at or below the T10-11 level. There were three surgical approaches to diskectomy: laminectomy in four patients, transpedicular surgery in 12, and costotransversectomy in 15. Weakness resolved postsurgery in nine of 18 patients. One patient transiently deteriorated neurologically after a laminectomy, three had wound infections, and two required second operations for their herniated disks. Postsurgery half the patients with symptoms continued to have pain or weakness.
胸椎间盘突出症的最佳手术方法存在争议，且长期随访记录不完善。我们回顾性分析了1975年至1992年期间在我院接受胸椎间盘突出症手术的31例患者的记录。2例患者有多节段椎间盘突出；33个突出椎间盘中有16个发生在T10 - 11水平或以下。椎间盘切除术有三种手术入路：4例患者行椎板切除术，12例行经椎弓根手术，15例行肋骨横突切除术。18例患者中有9例术后无力症状得到缓解。1例患者在椎板切除术后神经功能短暂恶化，3例发生伤口感染，2例因椎间盘突出需要二次手术。术后有症状的患者中有一半仍持续存在疼痛或无力症状。
