gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Article

Send article

Traumatic thoracic disc herniation: a case report

Meeting Abstract

Search Medline for

  • corresponding author J.-R. Alliez - Service de Neurochirurgie, CHU NORD, MARSEILLE
  • Y. Reynier - Service de Neurochirurgie, CHU NORD, MARSEILLE
  • J. M. Kaya - Service de Neurochirurgie, CHU NORD, MARSEILLE

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. DocP098

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2005/05dgnc0366.shtml

Published: May 4, 2005

© 2005 Alliez et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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.