Acta Neurochirurgica

, Volume 116, Issue 1, pp 49–52 | Cite as

Thoracic disc herniation. Analysis of 14 cases and review of the literature

  • E. G. Singounas
  • E. M. Kypriades
  • A. J. Kellerman
  • N. Garvan
Clinical Articles


Fourteen cases of thoracic intervertebral disc prolapse are reported and analysed. Eleven were women, 3 men, and the peak incidence was in the 5th decade. No trauma was reported in our cases. The T8/9 interspace was the most frequently involved. A sensory level was noticed in 6 cases and in four a clear cut sensory level at T10 was observed. Results of surgical treatment show that using microsurgical techniques costotransversectomy and its modifications are equally effective; laminectomy is contraindicated.


Thoracic disc prolapse costotransversectomy results 


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  1. 1.
    Arce D, Dohmaum G (1985) Thoracic disc herniation improved diagnosis with computed tomographic scanning and a review of the literature. Surg Neurol 23: 356–361Google Scholar
  2. 2.
    Capener N (1954) The evolution of lateral rachotomy. J Bone Joint Surg [Br] 36: 173–179Google Scholar
  3. 3.
    Carson J, Gumpert J, Jefferson A (1971) Diagnosis and treatment of thoracic intervertebral disc protrussions. J Neurol Neurosurg Psychiatry 34: 68–77Google Scholar
  4. 4.
    Eisberg CA (1931) The extradural ventral chondromas, their favorite sites, the spinal cord and roots symptoms they produce and their surgical treatment. Bull Neurol Inst NY 1: 350–388Google Scholar
  5. 5.
    Hawk WA (1936) Spinal compression caused by ecchondrosis of the intervertebral fibrocartilage, with a review of the recent literature. Brain 58: 204–224Google Scholar
  6. 6.
    Hulme A (1960) The surgical approach to thoracic intervertebral disc protrusions. J Neurol Neurosurg Psychiatry 23: 133–137Google Scholar
  7. 7.
    Lesoin F, Rousseaux M, Autricque A, Reesaul Y, Villette L, Clarisse J, Jomin M (1986) Thoracic disc herniation: evolution in the approach and indications. Acta Neurochir (Wien) 80: 30–34Google Scholar
  8. 8.
    Love KG, Schorn VG (1965) Thoracic disc protrusion. JAMA 1991: 627–631Google Scholar
  9. 9.
    Maiman DJ, Larson SJet al (1984) Latery extracavitary approach to the spine of throacic disc herniation: report of 23 cases. Neurosurgery 14: 178–182Google Scholar
  10. 10.
    Mc Allister VI, Sage MR (1976) The radiology of thoracic disc production. Radiology 27: 294–299Google Scholar
  11. 11.
    Middleton GS, Teacher JH (1911) Injury of the spinal cord due to rapture of an intervertebral disc during muscular effort. Glasgow Med J 76: 1–6Google Scholar
  12. 12.
    Mixter WJ, Barr JS (1934) Rupture of the intervertebral disc with involvement of the spinal canal. New Engl J Med 211: 210–215Google Scholar
  13. 13.
    Patterson RH, Arbit E (1978) A surgical approach through the pedicle to produced thoracic discs. J Neurosurg 48: 768–772Google Scholar
  14. 14.
    Peker S, Akkurt C, Ozean OE (1990) Multiple thoracic disc herniations. Acta Neurochir (Wien) 107: 167–170Google Scholar
  15. 15.
    Perot PL, Munro DD (1969) Transthoracic removal of midline thoracic dis protrusions causing spinal cord compression. J Neurosurg 31: 425–458Google Scholar
  16. 16.
    Ransohoff J, Spencer Fet al (1969) Transthoracic removal of thoracic disc. Report of three cases. J Neurosurg 31: 459–461Google Scholar
  17. 17.
    Russell T (1989) Thoracic intervertebral disc protrusion: experience of 67 cases and review of the literature. Br J Neurosurg 3: 153–160Google Scholar
  18. 18.
    Sekhar LN, Jannetta RJ (1983) Thoracic disc herniation: Operative approaches and results. Neurosurgery 12: 303–305Google Scholar
  19. 19.
    Singounas EG, Karvounis PC (1977) Thoracic disc protrusion. Acta Neurochir (Wien) 39: 251–258Google Scholar
  20. 20.
    Signorini G, Baldini M, Vivenza C, Princi L, Tonnarelli GP (1979) Surgical treatment of thoracic disc protrusion. Acta Neurochir (Wien) 49: 245–254Google Scholar
  21. 21.
    Young S, Karr G, O'Laoire S (1989) Spinal cord compression due to thoracic disc herniation: results of microsurgical posterolateral costotransversectomy. Br J Neurosurg 3: 31–38Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • E. G. Singounas
    • 2
  • E. M. Kypriades
    • 2
  • A. J. Kellerman
    • 1
  • N. Garvan
    • 1
  1. 1.Regional Center for Neurology and NeurosurgeryOldchurch HospitalRomfordUK
  2. 2.Evangelismos General HospitalAthensGreece

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