Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/823
Title: Treatment of symptomatic thoracic disc herniations with lateral interbody fusion.
Epworth Authors: Malham, Gregory
Other Authors: Parker, Rhiannon
Keywords: Complications
Minimally Invasive
Lateral
Spine
Thoracotomy
Lateral Interbody Fusion
LIF
Postoperative
Visual Analogue Scale
VAS
Oswestry Disability Index
ODI
SF-36 Physical
PCS
Mental Component Scores
MCS
Treatment
Thoracic Disc Herniations
Neurosciences Clinical Institute, Epworth HealthCare, Victoria, Australia
Issue Date: Dec-2015
Publisher: OSS Press Ltd
Citation: J Spine Surg. 2015 Dec;1(1):86-93.
Abstract: BACKGROUND: Symptomatic thoracic herniated discs have historically been treated using open exposures (i.e., thoracotomy), posing a clinical challenge given the approach related morbidity. Lateral interbody fusion (LIF) is one modern minimally disruptive alternative to thoracotomy. The direct lateral technique for lumbar pathologies has seen a sharp increase in procedural numbers; however application of this technique in thoracic pathologies has not been widely reported. METHODS: This study presents the results of three cases where LIF was used to treat symptomatic thoracic disc herniations. Indications for surgery included thoracic myelopathy, radiculopathy and discogenic pain. Patients were treated with LIF, without supplemental internal fixation, and followed for 24 months postoperatively. RESULTS: Average length of hospital stay was 5 days. One patient experienced mild persistent neuropathic thoracic pain, which was managed medically. At 3 months postoperative all patients had returned to work and by 12 months all patients were fused. From preoperative to 24-month follow-up there were mean improvements of 83.3% in visual analogue scale (VAS), 75.3% in Oswestry Disability Index (ODI), and 79.2% and 17.4% in SF-36 physical (PCS) and mental component scores (MCS), respectively. CONCLUSIONS: LIF is a viable minimally invasive alternative to conventional approaches in treating symptomatic thoracic pathology without an access surgeon, rib resection, or lung deflation.
URI: http://hdl.handle.net/11434/823
DOI: 10.3978/j.issn.2414-469X.2015.10.02
URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5039865/pdf/jss-01-01-086.pdf
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/27683683
ISSN: 2414-469X
2414-4630
Journal Title: Journal of Spine Surgery
Type: Journal Article
Type of Clinical Study or Trial: Case Control Studies
Appears in Collections:Neurosciences
Musculoskeletal

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