Artikel
Traumatic thoracic disc herniation: a case report
Suche in Medline nach
Autoren
Veröffentlicht: | 4. Mai 2005 |
---|
Gliederung
Text
Objective
Only one thoracic traumatic disc herniation without spinal dislocation has been reported. We report the second case.
Methods
On january the 20th a 41 year old man whas involved in a collision with an automobile while riding a motocycle and fell striking the pavement hard on his lower back. Acute Frankel B paraplegia with sensitivity loss below D12 was observed and patient was transported to intensive care unit. Initial body TDM showed D4 to D11 left transverse processes fractures, bilateral hemothorax and spleen contusion. Spinal IRM showed medulla contusion and excluded thoracic disc herniation at D11 D12 level. Patient operated on by D11 left transpedicular approach. Interspinous D11 D12 ligamentum and posterior longitudinal ligament were ruptured. Herniectomy was completed.
Results
Postoperative neurologic improvement was very slow. After 3 months follow-up, only partial recovery of sphincter function was noted.
Conclusions
Traumatic disc herniation are common at cervical level. Among 2341 herniated discs operated on, Terrhag reported 0.5% lumbar traumatic herniated discs and 2% cervical traumatic herniated discs.