Winter R B, Schellhas K P
Minnesota Spine Foundation, Minneapolis and St. Paul, USA.
Am J Orthop (Belle Mead NJ). 1996 Nov;25(11):783-6.
This is the case report of a 42-year-old woman with chronic thoracic pain, nonradicular and refractory to all nonoperative treatment. Radiographs showed the classic findings of Scheuermann's disease, but without abnormal kyphosis. Magnetic resonance imaging scans showed multilevel thoracic disc degeneration typical of long-term Scheuermann's disease. Thoracic discography revealed concordant pain at T6-7 and T7-8. Treatment consisted of an anterior fusion, T5-11, and posterior fusion of T3 through L1, with Cotrel-Dubousset instrumentation. At follow-up, she was pain free and able to work full time and had been able to return to golf, her favorite recreation. Discography of the thoracic spine, as of the lumbar spine, can reveal the true source of pain and thus lead to precise and effective treatment.
这是一例42岁女性患者的病例报告，该患者患有慢性胸痛，疼痛非神经根性，且对所有非手术治疗均无效。X线片显示了休门氏病的典型表现，但无异常驼背。磁共振成像扫描显示了长期休门氏病典型的多节段胸椎间盘退变。胸椎椎间盘造影显示T6-7和T7-8节段有一致性疼痛。治疗包括T5-11前路融合术以及T3至L1后路融合术，并使用Cotrel-Dubousset器械。随访时，她已无疼痛，能够全职工作，并且能够重新打高尔夫球，这是她最喜欢的消遣活动。与腰椎一样，胸椎椎间盘造影能够揭示疼痛的真正来源，从而实现精准有效的治疗。
