Modified eggshell procedure via posterior approach for sclerosing thoracic disc herniation: a preliminary study.
| Autor: | Si-Dong Yang, Qian Chen, Sheng-Hua Ning, Wen-Yuan Ding, Da-Long Yang |
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| Předmět: |
MENINGES
ANALYSIS of variance COMPUTED tomography INTERNAL fixation in fractures INTERVERTEBRAL disk displacement NEUROLOGIC manifestations of general diseases ORTHOPEDIC surgery PROBABILITY theory RESEARCH funding SPINAL fusion SUBDURAL hematoma SURGICAL complications THORACIC vertebrae WOUNDS & injuries SURGICAL equipment PILOT projects TREATMENT effectiveness PRE-tests & post-tests REPEATED measures design RETROSPECTIVE studies DATA analysis software MUSCLE weakness DESCRIPTIVE statistics MANN Whitney U Test SURGERY |
| Zdroj: | Journal of Orthopaedic Surgery & Research; 9/20/2016, Vol. 11, p1-8, 8p, 3 Color Photographs, 1 Black and White Photograph |
| Abstrakt: | Background: Clinically, sclerosing thoracic disc herniation is a disease with high surgical risk and various complications. Eggshell procedure is a surgical method used by surgeons to treat sclerosing thoracic disc herniation. The aim of this study was to report a modified eggshell procedure to treat sclerosing thoracic disc herniation. Methods: Medical records of 25 patients with sclerosing thoracic disc herniation were collected between 2007/01 and 2010/08, including 14 males and 11 females, with an average age of 51.7 years old. Modified eggshell procedure was performed to treat the patients with sclerosing thoracic disc herniation. All patients were followed up. Japanese Orthopaedic Association (JOA) score was used to evaluate the clinical outcomes. Results: All operations were performed successfully with complication rate of 12 %. There were 2 cases of dural laceration and 1 subdural hematoma. All included patients were followed up for at least 5 years, with the median of 6 years. JOA score of preoperation was 5 (IQR = 1) while it was 8 (IQR = 2) at final follow-up, with significant difference (Mann-Whitney U test, Z= -4.891, P<0.001).The improvement rate of neurological status was 51.5 ±23. 1 %. According to the classification of improvement rate, there were 15 cases at good level, 8 cases at moderate level, and 2 cases without any improvement. Conclusions: Modified eggshell procedure is a safe and effective surgical method when performed to treat sclerosing thoracic disc herniation in the clinical practice. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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