THORACIC DISC HERNIATION: CASE SERIES AND PROTOCOL FOR SURGICAL APPROACHES
| Autor: | EDUARDO AUGUSTO IUNES, FRANZ JOOJI ONISHI, VINICIUS DE MELDAU BENITES, RODRIGO MIZIARA YUNES, ALEXANDRE JOSÉ REIS ELIAS, SÉRGIO CAVALHEIRO |
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| Jazyk: | English<br />Spanish; Castilian<br />Portuguese |
| Předmět: | |
| Zdroj: | Coluna/Columna, Vol 15, Iss 4, Pp 299-302 |
| Druh dokumentu: | article |
| ISSN: | 2177-014X 1808-1851 |
| DOI: | 10.1590/s1808-185120161504086526 |
| Popis: | ABSTRACT Objective To describe the surgical results of a prospective series of five patients operated according to an approach indication protocol. Methods: Patients were classified according to surgical risk: Group A (high risk) or B (low risk) and subsequently into subgroups according to characteristics of the herniation and ultimately the surgical approach was defined: A.1) calcified central herniations - thoracoscopy; A.2) soft lateral herniations - posterolateral approach; A.3) centrolateral herniations - partial calcification in lateral position - posterolateral approach; higher density central calcification - thoracoscopy; B.1) central or centrolateral calcified herniations - thoracotomy or thoracoscopy; B.2) soft lateral herniations - posterolateral approach. Results: The duration of symptoms ranged from 2 months to 3 years; the age bracket was from 37 to 58 years; sex distribution was 3 female and 2 male patients and the length of hospital stay ranged from 2 to 20 days. The most affected level was T11/12. A patient classified as Group A.3 underwent posterolateral approach. The remaining patients were Group B.1, 3 submitted to thoracotomy and 1 to thoracoscopy. The herniation removal was completed in 5 cases; 3 patients improved and 2 remained stable. The morbidity and the recovery time were higher in patients who underwent anterolateral approaches. Conclusions: Classify patients according to surgical risk and the anatomical characteristics of disc herniation allows for complete decompression, minimizing morbidity and mortality. |
| Databáze: | Directory of Open Access Journals |
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