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Journals / Journal of Turkish Spinal Surgery / 2014 / Cilt: 25 - Sayı: 4

EXPERIENCE ON SURGICAL TREATMENT OF SINGLE-LEVEL THORACIC DISC HERNIATIONS VIA COSTOTRANSVERSECTOMY APPROACH

Uyğur ER
Serkan ŞİMŞEK
Pages
277–282
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Results: Overall complication rate is 38% based on complicated events, and 19% based on patient population.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To present the surgical results of the patients who have single-level thoracic disc herniation treated by costotransversectomy approach and to discuss advantages and disadvantages of this method.Patients and Method: Presenting symptoms, signs, recovery of symptoms after surgery and complication rates of twenty-one consecutive patients with single-level thoracic disc herniation treated via costotransversectomy in between 2004 and 2010 were presented.
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Key Findings & Data:Results: Overall complication rate is 38% based on complicated events, and 19% based on patient population.
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Conclusion & Impact:It provides excellent posterolateral vision to surgeon
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: To present the surgical results of the patients who have single-level thoracic disc herniation treated by costotransversectomy approach and to discuss advantages and disadvantages of this method.Patients and Method: Presenting symptoms, signs, recovery of symptoms after surgery and complication rates of twenty-one consecutive patients with single-level thoracic disc herniation treated via costotransversectomy in between 2004 and 2010 were presented. Results: Overall complication rate is 38% based on complicated events, and 19% based on patient population. The most common presenting symptom was axial, localized or radicular pain. The highest recovery rate was detected for pain. Operating time was short and blood loss was minimal for this method of operation.Conclusions: Costotransversectomy should be kept in mind as a first line surgical option due to its safety and less invasiveness. It provides excellent posterolateral vision to surgeon

Özet

Amaç: Kostotransversektomi yaklaşımı ile tedavi edilen tek seviyeli torakal disk hernisi hastalarının sonuçlarını sunmak ve yaklaşımın avantaj ve dezavantajlarını tartışmak. Hastalar ve Yöntem: 2004 ve 2011 yılları arasında kostotransversektomi yöntemi ile ameliyat edilen 21 hastanın disk seviyeleri, geliş yakınmaları, izlem süresinde bulgu ve belirtilerindeki düzelmeler ve komplikasyon oranları sunuldu.Sonuçlar: Genel komplikasyon oranı komplike olay bazında % 38, hasta topluluğu bazında ise %19 olarak hesaplandı. En sık başvuru yakınması ağrı olup aksiyal, bölgesel ya da radiküler olarak görülebilmektedir. En yüksek iyileşme oranı ağrı yakınmasında izlenmiştir. Bu yaklaşımda ameliyat süresi kısa, kan kaybı azdır.Son Çıkarım: Kostotransversektomi iyi bir posterolateral görüş sağlayan, güvenli, kolay, az invaziv bir yaklaşım olarak torakal disk hernilerinin cerrahi tedavisinde ilk sıralarda akılda bulundurulması gereken bir yöntemdir

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Cite This Article

ER, U., ŞİMŞEK, S. (2014). EXPERIENCE ON SURGICAL TREATMENT OF SINGLE-LEVEL THORACIC DISC HERNIATIONS VIA COSTOTRANSVERSECTOMY APPROACH. Journal of Turkish Spinal Surgery, Cilt: 25 - Sayı: 4, 277–282. https://ajindex.com/articles/210473

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References (9)

  1. Arseni C, Nash F. Thoracic intervertebral disc protrusion: a clinical study. J Neurosurg 1960; 17: 418- 430
  2. Benjamin V. Diagnosis and management of thoracic disc disease. Clin Neurosurg 1983; 30: 577-605
  3. Fessler RG, Dietze DD Jr, McMillan M, et al. Lateral parascapular extrapleural approach to the upper thoracic spine. J Neurosurg 1991; 75: 349-355
  4. Logue V. Thoracic intervertebral disc prolapse with spinal cord compression. J Neurol Neurosurg Psychiatry 1960; 23: 133-137
  5. Oppenlander PE, Clark JC, Kalyvas J, Dickman CA. Surgical management and clinical outcomes of multiple-level symptomatic herniated thoracic discs. J Neurosurg Spine 2013; 19: 774-783
  6. Patterson RH, Arbit E. A surgical approach through the pedicle to protruded thoracic discs. J Neurosurg 1978; 48: 768-772
  7. Perot PL, Munro DD. Transthoracic removal of midline thoracic disc protrusions causing spinal cord compression. J Neurosurg 1969; 31: 452-458
  8. Potts EA, Karahalios DG. Thoracic diskectomy. Chapter 24. In: Kim DH, Henn JS, Vaccaro AR, Dickman CA (Eds.), Surgical Anatomy and Techniques to the Spine. Saunders and Elsevier, New York, 2006; pp: 201-211
  9. Sekhar LN, Janetta PJ. Thoracic disc herniation: operative approaches and results. Neurosurgery 1983; 12: 303-305. 10-Stillerman CB, Chen TC, Couldwell WT, Zhang W, Weiss MH. Experience in the surgical management of 82 symptomatic herniated thoracic discs and review of the literature. J Neurosurg 1998; 88: 623-633. 11-Vollmer DG, Simmons NE. Transthoracic approaches to thoracic disc herniations. Neurosurg Focus 2000; 9(4-E8): 1-6. 12-Yoshihara H. Surgical treatment for thoracic disc herniation. Spine 2014; 39(6): E406-412.