E-ISSN: 2147-5903
CLINICAL RESULTS OF CALCIFIED THORACIC DISC HERNIATION TREATED WITH A TRANSPEDICULAR APPROACH
PDF
Cite
Share
Request
Original Article
VOLUME: 25 ISSUE: 4
P: 283-288
October 2014

CLINICAL RESULTS OF CALCIFIED THORACIC DISC HERNIATION TREATED WITH A TRANSPEDICULAR APPROACH

J Turk Spinal Surg 2014;25(4):283-288
Nuri Eralp CETİNALP 1
Kerem Mazhar ÖZSOY 1
Halil İbrahim SEÇER 2
Serdar KAHRAMAN 3
İ. Teoman BENLİ 4
1. Assistant Professor, Surgeon of Neurosurgery, Çukurova University Department of Neurosurgery, Adana.
2. Associate Professor, Surgeon of Neurosurgery, Akay Hospital, Department of Neurosurgery, Ankara.
3. Professor of Neurosurgery, Surgeon of Neurosurgery, The University of New Century, Department of Neurosurgery, Istanbul
4. Professor of Orthopaedics and Traumatology, Director of Department of the Orthopaedics and Traumatology, Hisar Intercontinental Hospital, İstanbul
No information available.
No information available
Received Date: 20.08.2014
Accepted Date: 23.09.2014
PDF
Cite
Share
Request

ABSTRACT

Conclusion:

Calcified TDH remains a surgical challenge. The goal of surgery is to decompress the neural elements without any manipulation of the spinal cord aside from that required by the surgical technique. When adequately diagnosed and treated, satisfactory results can be achieved.

Results:

In the preoperative period, three patients were Nurick grade 1, two were grade 2, three were grade 3, and two were grade 4. Surgical treatment obtained satisfactory results and the Nurick grade improved in all of the patients (100%), with five patients postoperatively Nurick grade 0, and five patients Nurick grade 1. The mean Nurick grade improved from 2.4 to 0.5.

Materials and Methods:

A retrospective cohort study of ten patients with calcified TDH received surgery between 2008 and 2013. Data were collected by reviewing the patients’ notes and radiological studies, and included basic demographic data, clinical presentation and outcome, operative procedure, and complications. The ten patients included six males and four females (mean age: 35.6 years, range: 22–58 years). The mean follow-up was 28.1 (12–48) months. All patients received surgery with a transpedicular approach, and posterior transpedicular stabilization was performed for seven patients.

Introduction:

Symptomatic thoracic disc herniations (TDHs) are relatively rare and challenging due to the wide variety of clinical presentations, a lack of consensus on the surgical indications, and the variety of surgical approaches. Our objective was to describe our series of calcified thoracic disc herniations and their outcomes.

Keywords:
Thoracic disc herniation, transpedicular approach, surgical results.