caa a22 4500 445832908 CHVBK 20180317145321.0 cr unu---uuuuu 170323e20111001xx s 000 0 eng 10.1007/s00586-011-1821-7 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1821-7 Surgical treatment of thoracic disc herniations via tailored posterior approaches [Elektronische Daten] [Wolfgang Börm, U. Bäzner, R. König, T. Kretschmer, G. Antoniadis, J. Kandenwein] We present clinical findings, radiological characteristics and surgical modalities of various posterior approaches to thoracic disc herniations and report the clinical results in 27 consecutive patients. Within an 8-year period 27 consecutive patients (17 female, 10 male) aged 30-83years (mean 53years.) were surgically treated for 28 symptomatic herniated thoracic discs in our department. Six of these lesions (21%) were calcified. In all cases surgery was performed via individually tailored posterior approaches. We evaluated the pre- and postoperative clinical status and the complication rate in a retrospective study. Nearly one half of the lesions (46.4%) were located at the three lowest thoracic segments. Clinical symptoms included back pain or radicular pain (77.8%), altered sensitivity (77.8%), weakness (40.7%), impaired gait (51.9%) or bladder dysfunction (22%). Costotransversectomy was performed in 8 patients, 1 lateral extracavitary approach, 2 foraminotomies, 15 transfacet and/or transpedicular approaches and 2 interlaminar approaches were used for removing the pathologies. After a mean follow-up of 38.6months (3-100months), complete normalization or reduction of local pain was recorded in 87% of the patients and of radicular pain in 70% of the cases, increased motor strength could be achieved in 55%, sensitivity improved in 76.2% and improvement of myelopathy was noted in 71.4%. Two patients suffered from postoperative impairment of sensory deficits, which in one case was discrete. The overall recovery rate within the modified JOA score was 39.5%. In 1 patient, two revisions were required because of instability and a persisting osteophyte, respectively. The rate of major complications was 7.1% (2/28). Surgical treatment of thoracic disc herniations via posterior approaches tailored to the individual patient produces satisfying results referring to clinical outcome. Posterior approaches remain a viable alternative for a large proportion of patients with symptomatic thoracic disc herniations. Springer-Verlag, 2011 Thoracic disc herniation nationallicence Posterolateral approach nationallicence Transthoracic approach nationallicence Thoracoscopic discectomy nationallicence Costotransversectomy nationallicence Börm Wolfgang Neurosurgical Department, Diakonissenhospital, Knuthstrasse 1, 24939, Flensburg, Germany aut Bäzner U. Neurosurgical Department, University of Ulm/Günzburg, Günzburg, Germany aut König R. Neurosurgical Department, University of Ulm/Günzburg, Günzburg, Germany aut Kretschmer T. Neurosurgical Department, Evangelisches Krankenhaus Oldenburg, Oldenburg, Germany aut Antoniadis G. Neurosurgical Department, University of Ulm/Günzburg, Günzburg, Germany aut Kandenwein J. Neurosurgical Department, University of Ulm/Günzburg, Günzburg, Germany aut European Spine Journal Springer-Verlag 20/10(2011-10-01), 1684-1690 0940-6719 20:10<1684 2011 20 586 https://doi.org/10.1007/s00586-011-1821-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1821-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Börm Wolfgang Neurosurgical Department, Diakonissenhospital, Knuthstrasse 1, 24939, Flensburg, Germany aut NATIONALLICENCE 700 1- Bäzner U. Neurosurgical Department, University of Ulm/Günzburg, Günzburg, Germany aut NATIONALLICENCE 700 1- König R. Neurosurgical Department, University of Ulm/Günzburg, Günzburg, Germany aut NATIONALLICENCE 700 1- Kretschmer T. Neurosurgical Department, Evangelisches Krankenhaus Oldenburg, Oldenburg, Germany aut NATIONALLICENCE 700 1- Antoniadis G. Neurosurgical Department, University of Ulm/Günzburg, Günzburg, Germany aut NATIONALLICENCE 700 1- Kandenwein J. Neurosurgical Department, University of Ulm/Günzburg, Günzburg, Germany aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/10(2011-10-01), 1684-1690 0940-6719 20:10<1684 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer