PubMed HealthSearch

PubMed · 10423909

[Thoracic intervertebral disk herniation].

Abstract

The history of thoracic intervertebral disc herniation recognition as a distinct condition is presented on the ground of the literature. Pathogenesis, pathology, clinical signs and symptoms, diagnostics and differentiation is discussed. Evolution of surgical methods from laminectomy, through thoracotomy to lateral approach is presented. Comparison of results achieved by different methods proved disadvantageous for laminectomy. Increasing over recent decades contribution of orthopedic surgeons in treatment of thoracic intervertebral disc herniation is underlined. The issue is rarely present in Polish literature, thus the need to introduce it to orthopedic surgeons.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

S Malawski. 1999. [Thoracic intervertebral disk herniation].. https://pubmed.ncbi.nlm.nih.gov/10423909/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Surgical management of lumbar spinal stenosis.

Lumbar stenosis includes various forms of constriction of the spinal canal or the intervertebral foramen. Stenosis may be present in isolation, with or without a disc bulge or herniation, or can be associated with degenerative spondylolisthesis or degenerative scoliosis. This article analyzes the indication for surgery and the methods and outcomes of operative treatment in central, lateral, and foraminal stenosis either isolated or associated with other conditions. The factors that most affect outcome are correct indications for surgery and adequate technique. At present, 70-80% of patients have a satisfactory result from surgery, but the outcome tends to deteriorate in the long term.

Decompression, Surgical

[Surgical treatment of low back pain].

Sciatica in low back pain is usually caused by lumbar disc herniation, degenerative spinal disease or lumbar spinal stenosis. Important pathogenetic factors are mechanical compression of and inflammatory changes in nerve roots caused by nucleus pulposus tissue. Decompression of nerve roots and removal of nucleus pulposus tissue are the main surgical goals. Emphasis should be placed on clinical identification of the symptomatic nerve roots. Computerized tomography (CT) and magnetic resonance (MR) imaging are the most important diagnostic tools today. Plain X-ray may be required for correct identification of the lowest mobile segment. Functional myelography combined with CT may be required to diagnose lumbar spinal stenosis. A proper selection of patients for surgery seems to be more important for a successful outcome than whether macro- or microsurgery is used, or wether the operation comprises one or several nerve roots. The combination of clear nerve root affection, mechanically provoced pain, and corresponding pathological findings at imaging are the best predictors of successful outcome. Psychosocial stability is an additional positive predictive factor. Impaired fibrinolysis occurring in smokers and in sedentary and obese patients, may be a negative predictive factor.

Decompression, Surgical