Thoracic Intervertebral Disc Herniations: Diagnostic Value of Magnetic Resonance Imaging

Blumenkopf, Bennett

doi:10.1227/00006123-198807000-00008

Cited by 51 publications

(35 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Distribution according to gender showed a marked female predominance in the present series consistent with the literature [4,6,7,9,14,17,19,28,30], perhaps due to changes in the hormonal status during menopause and its consequences on calcium-phosphorus metabolism. In the present series, all of the lesions were observed in the lower half of the thoracic spine with a peak of frequency between the eighth and twelfth thoracic vertebrae.…”

Section: Discussionsupporting

confidence: 91%

“…Symptomatic HTHD is more frequent during the fourth and fifth decade of life [4,6,7,14,17,22,26,30], in the framework of a spinal degenerative process. Distribution according to gender showed a marked female predominance in the present series consistent with the literature [4,6,7,9,14,17,19,28,30], perhaps due to changes in the hormonal status during menopause and its consequences on calcium-phosphorus metabolism.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

et al. 2006

View full text Add to dashboard Cite

The authors retrospectively reviewed a series of 18 hard thoracic herniated discs (HTHD) operated by thoracoscopy. Isolated cases of HTHD have been reported in the literature, but no series describing these lesions has been published. Seventy-two percent of the herniated discs were situated between T8 and T12. Fifty-six percent of the patients had radiographic sequelae of Scheuermann's disease. Postoperatively, 83% had neurological improvement. In seven cases (39%), a plane separating the herniated disc and the dura mater was found surgically. In 11 patients, no separating plane was found during surgery. The lesion was intradural in three patients (17%) and adherent to the dura mater in eight (44%). Among these 11 patients, surgery was complicated by a dural tear in the first seven that led to a high risk of cerebrospinal fluid fistula: four of these seven patients had required surgical revision. In the last four, the zone of adhesion of the HTHD to the dura mater was preserved, successfully preventing dural tear Keywords Calcified thoracic disc herniation AE MRI AE Scheuermann AE Thoracic spine AE Thoracoscopy Eur Spine J (2006) 15: 537-542

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

et al. 2006

View full text Add to dashboard Cite

show abstract

“…In a review of ten surgical series (238 patients), 5,6,12,15,23,26,27,39,40,43 we found that the indications for operation were myelopathy in 70% of cases, intractable radiculopathy in 24% of cases, and back pain in 6% of cases. These data are similar to those demonstrated in the present series in which 70% of patients underwent surgery for myelopathy and 30% for radiculopathy.…”

Section: Discussionmentioning

confidence: 98%

“…Because the great majority of thoracic disc herniations remained stable or decreased in size and because no clinical symptoms developed over time, it is difficult to recommend prophylactic surgery for patients with asymptomatic disc herniations. 5,45 No predictors currently exist to indicate which patients with incidentally discovered disc herniations will develop symptoms.…”

Section: Discussionmentioning

confidence: 99%

Transpedicular approach for thoracic disc herniations

Bilsky¹

2000

FOC

View full text Add to dashboard Cite

Object Patients with symptomatic herniated thoracic discs may require operation for intractable radiculopathy or functionally disabling myelopathy. In the past, laminectomy was the procedure of choice for the treatment of thoracic herniations, but it was found that the approach was associated with an unacceptably high rate of neurological morbidity. Several strategies have been developed to excise the disc without manipulating the spinal cord. The focus of this paper is the transpedicular approach. Methods The author retrospectively reviewed the cases of 20 consecutive patients presenting with herniated thoracic discs in whom surgery was performed via a transpedicular approach. Fourteen patients presented with acute myelopathy and six with radiculopathy. Of those with myelopathy six of six regained ambulation and six of seven regained normal bladder function. No patient with myelopathy experienced neurological worsening. In four patients presenting with radiculopathy postoperative pain resolved, and in two it remained unchanged. Three minor complications (15%) occurred. No patient suffered postoperative spinal instability–related pain or delayed kyphosis. Conclusions As experience accumulates in the use of multiple approaches for the treatment of thoracic disc herniations, the role of each is becoming more clearly defined. The transpedicular approach is most applicable to lateral or centrolateral calcified or soft discs. The more anterior (transthoracic or thoracoscopic) and lateral (costotransversectomy or lateral extracavitary) approaches may be more useful for excision of central calcified discs.

show abstract

“…When they do occur, they are typically found in older patients and are predominantly found in the lower thoracic spine [11][12][13]. The most common disc level for thoracic disc herniation was found to be the T11-12 level with 26-50% of the total number [14][15][16]. A classic study reviewing the occurrence of 258 thoracic disc herniations found the majority (66%) occurred in the lower third of the thoracic spine (between T9-10 and T12-L1), then middle third (28% between T5-6 and T8-9), followed least by the upper thoracic spine (6% between T1-2 and T4-5) [17].…”

Section: Discussionmentioning

confidence: 99%

T1 Radiculopathy: Electrodiagnostic Evaluation

2009

View full text Add to dashboard Cite

Electromyography (EMG) studies are useful in the anatomical localization of nerve injuries and, in most cases, isolating lesions to a single nerve root level. Their utility is important in identifying specific nerve-root-level injuries where surgical or interventional procedures may be warranted. In this case report, an individual presented with right upper extremity radicular symptoms consistent with a clinical diagnosis of cervical radiculopathy. EMG studies revealed that the lesion could be more specifically isolated to the T1 nerve root and, furthermore, provided evidence that the abductor pollicis brevis receives predominantly T1 innervation.

show abstract

Thoracic Intervertebral Disc Herniations: Diagnostic Value of Magnetic Resonance Imaging

Cited by 51 publications

References 0 publications

Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy

Transpedicular approach for thoracic disc herniations

T1 Radiculopathy: Electrodiagnostic Evaluation

Contact Info

Product

Resources

About