Thoracoscopic treatment for single level symptomatic thoracic disc herniation: a prospective followed cohort study in a group of 167 consecutive cases
| Autor: | Christoph Sanner, Ulrich Quint, Gerd Bordon, Daniel I. Rosenthal, Inge Preissl |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Thoracic Vertebrae Cohort Studies Prevalence medicine Back pain Thoracoscopy Humans Orthopedics and Sports Medicine Muscle Strength Prospective Studies Prospective cohort study Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry fungi food and beverages Retrospective cohort study Middle Aged medicine.disease Surgery stomatognathic diseases Treatment Outcome medicine.anatomical_structure Back Pain Patient Satisfaction Radicular pain Thoracic vertebrae Female Original Article Neurosurgery medicine.symptom business Intervertebral Disc Displacement Follow-Up Studies Cohort study |
| Zdroj: | European Spine Journal. 21:637-645 |
| ISSN: | 1432-0932 0940-6719 |
| DOI: | 10.1007/s00586-011-2103-0 |
| Popis: | Thoracic disc disease with radicular pain and myelopathic symptoms can have serious neurological sequelae. The authors present a relevant treatment option.Data of patients with single level symptomatic thoracic disc herniation treated with thoracoscopic microdiscectomy were prospectively collected over a period of 10 years. Data collection included the preoperative status and the follow-up status was 6, 12 and 24 months after surgery for every patient.A total of 167 single level thorascoscopic discectomies without previous surgery on the level of the procedure were included in this study. The average preoperative duration of pain symptoms was 14.3 months, myelopathic symptoms were present for an average of 16.7 months before surgery. After the procedure pain scores measured with visual analog scale (VAS) decreased by 4.4 points and the muscle strength improved by a mean of 4.6 points (American Spinal Injury Association ASIA motor score). After 2 years, 79% of the patients reported a excellent or good outcome for pain and 80% of the patients reported a excellent or good outcome for motor function. The overall complication rate was 15.6%.Thoracoscopic microdiscectomy for single level symptomatic disc herniation is a highly effective and reliable technique, it can be performed safely with low complication rate. |
| Databáze: | OpenAIRE |
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