Reoperation for herniated thoracic discs.

Published on Oct 1, 1999in Journal of Neurosurgery5.115
路 DOI :10.3171/SPI.1999.91.2.0157
Curtis A. Dickman60
Estimated H-index: 60
(St. Joseph's Hospital and Medical Center),
Daniel Rosenthal6
Estimated H-index: 6
John J. Regan1
Estimated H-index: 1
Object. In this review the authors address the surgical strategies required to resect residual herniated thoracic discs. Methods. Data obtained in 15 patients who had undergone prior thoracic discectomy and who harbored residual or incompletely excised symptomatic thoracic discs were reviewed retrospectively. The surgical procedures that had failed to excise the herniated discs completely included 11 posterolateral approaches, one thoracotomy, and three thoracoscopyguided surgical procedures. Of the lesions that were incompletely resected or residual, there were 13 central calcified, two soft, 12 extradural, and three intradural discs. Indications for reoperation were often multiple in each patient and included misidentification of the level of disc disease at the initial operation (five cases), abandoning the procedure because of intraoperative spinal cord injury (three cases), inadequate visualization of the pathological entity (eight cases), migration of a soft disc fragment within the spinal canal (on...
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