Okada Y, Shimizu K, Ido K, Kotani S
Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Japan.
Spinal Cord. 1997 Mar;35(3):183-6. doi: 10.1038/sj.sc.3100357.
The incidence of intervertebral disc herniation in the thoracic region of the spine is much less than in the cervical or lumbar areas, and multiple thoracic disc herniations are rare. We described a 33-year-old man with two-level thoracic disc herniation, who exhibited features of spinal cord compression. Magnetic resonance imaging and computed tomographic myelography demonstrated anterior compression of the spinal cord due to disc herniation at T4/5 and T7/8 levels. Through an anterolateral approach, these discs were removed and interbody fusion was performed using autogenous bone grafts. Excellent results were obtained.
脊柱胸段椎间盘突出症的发病率远低于颈段或腰段,多节段胸段椎间盘突出症较为罕见。我们描述了一名33岁患有两节段胸段椎间盘突出症的男性患者,其表现出脊髓受压的特征。磁共振成像和计算机断层脊髓造影显示,T4/5和T7/8水平的椎间盘突出导致脊髓前方受压。通过前外侧入路,切除了这些椎间盘,并使用自体骨移植进行了椎间融合。获得了优异的效果。