Thoracic idiopathic spinal cord herniation at the vertebral body level: a subgroup with a poor prognosis? Case report and review of the literature
Thoracic idiopathic spinal cord herniation at the vertebral body level: a subgroup with a poor prognosis? Case report and review of the literature
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DOI：
10.3171/spi.2002.97.3.0369
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发表时间：
2002-10-01
影响因子：
4.1
通讯作者：
Gullan, RW
中科院分区：
文献类型：
--
作者：
Barbagallo, GMV;Marshman, LAG;Gullan, RW
作者报告了两例发生在椎体(VB)水平的胸椎特发性脊髓脱出(TISCH)病例，在这两例病例中，适当的手术复位未能扭转症状。在第二个病例中，Tisch发生在VB腔内，表现不典型(亚急性脊髓综合征)，术后持续恶化。在这两个病例中，通过胸椎正中后路椎板切除获得充分的手术复位，通过使用假体材料闭合前硬脑膜缺损来维持复位。发生在VB节段的胸椎特发性脊髓突出症在技术上可以通过手术复位得到很好的治疗，但结果似乎难以预测。直接发生在VB腔内的突出可形成一个不同的亚组，其表现不典型，预后较差。
The authors present two cases of thoracic idiopathic spinal cord herniation (TISCH) occurring at the vertebral body (VB) level in whom adequate surgical reduction failed to reverse symptoms. In the second case, in which TISCH occurred into a VB cavity, presentation was atypical (subacute spinal cord syndrome) and there was persistent postoperative deterioration.In both cases, adequate surgical reduction was achieved via a posterior midthoracic laminectomy, and reduction was maintained by closure of the anterior dural defect by using prosthetic material.Thoracic idiopathic spinal cord herniation occurring at a VB level may be technically well treated by surgical reduction, but the outcome appears less predictable. Herniation that occurs directly into a VB cavity may form a distinct subgroup in which the presentation is atypical and the prognosis worse.