Acute traumatic sequestrated thoracic disc herniation: A case report and review

BACKGROUND: Pure sequestrated thoracic disc herniations secondary to a traumatic event are rare. CASE DESCRIPTION: Elderly male presented with the sudden onset of severe paraparesis following a fall. The MR showed a left-sided extruded disc at the T10-T11. The patient underwent a thoracic interlamin...

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Detalles Bibliográficos
Autores principales: Rahimizadeh, Abolfazl, Sami, Sam Hajialiloo, Rahimizadeh, Shahrzad, Williamson, Walter L., Amirzadeh, Mahan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Scientific Scholar 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8053453/
https://www.ncbi.nlm.nih.gov/pubmed/33880213
http://dx.doi.org/10.25259/SNI_941_2020
Descripción
Sumario:BACKGROUND: Pure sequestrated thoracic disc herniations secondary to a traumatic event are rare. CASE DESCRIPTION: Elderly male presented with the sudden onset of severe paraparesis following a fall. The MR showed a left-sided extruded disc at the T10-T11. The patient underwent a thoracic interlaminar laminectomy, removal of one large, and several smaller sequestrated disc fragments utilizing a transfacet corridor requiring placement of an interbody Peek cage, and bilateral T10 and T11 pedicle screw instrumentation. At 6 postoperative months, he sustained a good recovery. CONCLUSION: Acute thoracic disc herniations without attendant fracture/dislocation are rare. When they result in major neurological deficits, timely surgical excision is warranted.

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