Multiple thoracic disc herniations: case report.
Multiple thoracic disc herniation is rare, and one of the main problems in its treatment has been the lack of accuracy in diagnostic tests. Now, with the advent of computed tomographic scanning with metrizamide in the subarachnoid space, the accuracy has been greatly improved. With computed tomographic scanning, the type and level of the lesion can be demonstrated, even when the myelographic study is unclear. Our report describes the case of a 38-year-old man with multiple thoracic intervertebral disc herniation, who also exhibited symptoms of spinal cord compression. Computed tomographic metrizamide myelography clearly showed anterior compression of the spinal cord due to disc herniation at T5-T6, T6-T7, T7-T8, T8-T9, and T9-T10. Removal of the herniated discs was followed by interbody fusion using autogenous bone grafts, and excellent results were obtained.
Department of Orthopaedic Surgery, Faculty of Medicine, Kyoto University, Japan.
J
J
Shikata
T
T
Yamamuro
H
H
Iida
N
N
Kashiwagi
D000328:Adult; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D013123:Spinal Fusion; D014057:Tomography, X-Ray Computed