Longterm outcome of thoracic disc herniations that were treated by microdiscectomy with bilateral decompression via unilateral approach

Creative Commons License

Aydin Y., Yuce İ., Cavusoglu H., Kahyaoglu O., Ataseven M.

Brain and Spine, cilt.3, ss.102082, 2023 (Hakemli Dergi)

  • Yayın Türü: Makale / Özet
  • Cilt numarası: 3
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.bas.2023.102083
  • Dergi Adı: Brain and Spine
  • Sayfa Sayıları: ss.102082
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet

Özet

Background: Thoracic disc herniation (TDH) surgery carries risks of neurological worsening due to thoracic cord retraction injury. Multiple approaches have been developed aiming for resecting the disc herniations of the thoracic segment.

Method: We have conducted a prospective observational study to evaluate the mid-term outcome of thoracic microdiscectomy with bilateral decompression via a unilateral approach (BDUA). Patients were checked pre-operative, post-operative, and late follow-up by Oswestry Disability Index (ODI), Visual Analogue Scale (VAS), and radiological images.

Result: 59 patients were treated for TDH by microdiscectomy with BDUA between January 2010 and January 2022. 26 patients were female, 33 were male, and all of those mean age was 52,1 ± 8,4 (range 27–67 years). The mean follow-up time was 47,2 ± 14,8 months (range 7–103 m). The ODI and VAS scores decreased significantly in both postoperative and late follow-up evaluations


Conclusion: Microdiscectomy with BDUA for thoracic disc herniations allowed sufficient and safe decompression of the neural structures and resulted in a significant reduction of symptoms and disability.