Abstract
Although spontaneous regression of herniated disk material has been reported in the lumbar and cervical spine, reports of complete spontaneous regression of calcified thoracic disk herniations are exceedingly rare. In symptomatic patients, surgery is typically the treatment of choice; however, conservative therapy with surveillance may allow time for spontaneous resolution and potentially avoid high-risk surgery. We report a 40-year-old woman with complete spontaneous resolution of a large calcified thoracic disk extrusion with conservative management over an 8-month period.
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Rahimizadeh A, Saghri M, Hajimirzabeigi A, Yazdi T, Rahimizadeh A. Spontaneous resolution of a big thoracic disc Herniation. Report of a case and review of the literature. World Spinal Column J. 2015;6(3):1330138.
Okada Y, Shimizu K, Ido K, Kotani S. Multiple thoracic disc herniations: case report and review of the literature. Spinal Cord. 1997;35(3):183–6.
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(4):623–33.
Chanchairujira K, Chung CB, Kim JY, Papakonstantinou O, Lee MH, Clopton P, et al. Intervertebral disk calcification of the spine in an elderly population: radiographic prevalence, location, and distribution and correlation with spinal degeneration. Radiology. 2004;230(2):499–503.
Barbanera A, Serchi E, Fiorenza V, Nina P, Andreoli A, Agrillo U. Giant calcified thoracic herniated disc: considerations aiming a proper surgical strategy. J Neurosurg Sci. 2009;53(1):19–25, discussion 25–6.
Tovi D, Strang RR. Thoracic intervertebral disk protrusions. Acta Chir Scand Suppl. 1960;Suppl 267:1–41.
Zhao Y, Wang Y, Xiao S, Zhang Y, Liu Z, Liu B. Transthoracic approach for the treatment of calcified giant herniated thoracic discs. Eur Spine J. 2013;22(11):2466–73.
Hott JS, Feiz-Erfan I, Kenny K, Dickman CA. Surgical management of giant herniated thoracic discs: analysis of 20 cases. J Neurosurg Spine. 2005;3(3):191–7.
Xiong Y, Lachmann E, Marini S, Nagler W. Thoracic disk herniation presenting as abdominal and pelvic pain: a case report. Arch Phys Med Rehabil. 2001;82(8):1142–4.
Ahmad FU, Schallert E, Bregy A, Post JD, Vanni S. Disappearing large calcified thoracic disc herniation in a patient with thalassaemia. BMJ Case Rep. 2016; https://doi.org/10.1136/bcr-2015-213166
Piccirilli M, Lapadula G, Caporlingua F, Martini S, Santoro A. Spontaneous regression of a thoracic calcified disc herniation in a young female: a case report and literature review. Clin Neurol Neurosurg. 2012;114(6):779–81
Teplick JG, Haskin ME. Spontaneous regression of herniated nucleus pulposus. AJR Am J Roentgenol. 1985;145(2):371–5.
Liu JT, Li XF, Yu PF, Li XC, Qian Q, Liu GH, et al. Spontaneous resorption of a large lumbar disc herniation within 4 months. Pain Physician. 2014;17(6):E803–6.
Shah A, Botchu R, Grainger M, Davies A, James S. Acute symptomatic calcific discitis in adults: a case report and review of literature. Skeletal Radiol. 2015;44(12):1819–24.
Ho C, Chang S, Fulkerson D, Smith J. Children presenting with calcified disc herniation: a self-limiting process. J Radiol Case Rep. 2012;6(10):11–9.
Peck FC Jr. A calcified thoracic intervertebral disk with herniation and spinal cord compression in a child; case report. J Neurosurg. 1957;14(1):105–9.
Brauge D, Madkouri R, Clément R, Reina V, Brauge T, Gaillard S. What are the possibilities of spontaneous resorption of a thoracic disc herniation occupying more than 20% of the spinal canal in the asymptomatic subject? Comparative study. J Clin Neurosci. 2017;44:269–73.
Gille O, Soderlund C, Razafimahandri HJ, Mangione P, Vital JM. Analysis of hard thoracic herniated discs: review of 18 cases operated by thoracoscopy. Eur Spine J. 2006;15(5):537–42.
Shirzadi A, Drazin D, Jeswani S, Lovely L, Liu J. Atypical presentation of thoracic disc herniation: case series and review of the literature. Case Rep Orthop. 2013;2013:621476.
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Oligane, H., Rongo, J., Agarwal, V. et al. Spontaneous regression of a large calcified thoracic disk extrusion. Skeletal Radiol 47, 1177–1182 (2018). https://doi.org/10.1007/s00256-018-2887-7
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DOI: https://doi.org/10.1007/s00256-018-2887-7