Summary
Between 1960 and 1 June 1985, 21 patients were operated for thoracic disc herniations. The advent of new operative techniques (with transverso-arthropediculectomy) has brought about new indications in the management of such disorders. These new indications are important because such protrusions may be abruptly complicate by compression of blood vessels, which may produce abrupt and irreversible neurological deficit. The progress in the radiological examinations allows a more precise study of the topography and density of the hernia. Furthermore, the use of a surgical microscope and microsurgical techniques allow a surgical treatment without preoperative medullary angiography.
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Albrand, O. W., Corkill, G., Thoracic disc herniation, treatment and prognosis. Spine4 (1979), 41–46.
Arce, C. A., Dohrmann, G. J., Thoracic disc herniation; improved diagnosis with computed tomographic scanning and a review of the literature. Surg. Neurol.23 (1985), 356–361.
Capener, N., The evolution of lateral rhachotomy. J. Bone Jt Surg.39 (1946), 730–734.
Caron, J. P., Julian, H., Lebrigand, H., Comoy, J., Caruel, N., Discussion sur les voies d'abord des hernies discales dorsales et leurs résultats. Neurochirurgie14 (1968), 171–182.
Carson, J., Gumpert, J., Jefferson, A., Diagnosis and treatment of thoracic intervertebral disc protrusions. J. Neurol. Neurosurg. Psychiat.34 (1971), 68–77.
Cook, W. A., Transthoracic vertebral surgery. Ann. Thorac. Surg.12 (1971), 54–58.
Cossa, P., Duplay, J., Camuzard, M., Paoli, F., Ala recherche du syndrome de l'artère du renflement lombaire. Rev. Neurol.100 (1959), 205–211.
Crafoord, C., Hiertonn, T., Lindblom, K., Olsson, S. E., Spinal cord compression caused by a protruded thoracic disc. Report of a case treated with antero-lateral fenestration of the disc. Acta Orthop. Scand.28 (1958), 103–107.
Garcin, R., Zülch, K. J., Lazorthes, G., Gruner, J., Pathologie vasculaire de la moelle. Rev. Neurol.106 (1962), 572–575.
Hulme, A., The surgical approach to thoracic intervertebral disc protrusions. J. Neurol. Neurosurg. Psychiat.23 (1960), 133–137.
Jefferson, A., The treatment of thoracic intervertebral disc protrusions. Clin. Neurol. Neurosurg.78 (1975), 1–9.
Julian, H., Djindkian, R., Caron, J. P., Houdart, R., Syndrome d'ischémie médullaire par compression discale de l'artère du renflement lombaire. Soc. Neurochir. (Paris)4–6 (1967), 163–170.
Lazorthes, G., Gouaze, A., Djindjian, R., Vascularization et circulation de la moelle épinière. Paris: Masson Edit. 1973.
Patterson, R. H., Arbit, E., A surgical approach through the pedicle to protruded thoracic discs. J. Neurosurg.48 (1978), 768–772.
Perot, P. L., Monroe, D. D., Transthoracic removal of midline thoracic disc protrusions causing spinal cord compression. J. Neurosurg.31 (1939), 452–458.
Privat, J. M., Safdari, H., Gros, C., Les hernies discales dorsales. Expérience de la voie antérolatérale. Notes techniques anatomochirurgicales. Rachis 1982.
Ransohoff, J., Spencer, F., Siew, F., Gage, L., Transthoracic removal of thoracic disc. Report of three cases. J. Neurosurg.31 (1969), 459–461.
Reif, J., Gilsbach, J., Ostheim-Dzerowycz, W., Differential diagnosis and therapy of herniated thoracic disc. Discussion of six cases. Acta Neurochir. (Wien)67 (1983), 255–265.
Sekhar, L. N., Jannetta, P. J., Thoracic disc herniation: operative approaches and results. Neurosurgery3 (1983), 303–305.
Signorini, G., Baldini, M., Vivenzo, C., Prioi, L., Tonnarelli, G. P., Surgical treatment of thoracic disc protrusion. Acta Neurochir. (Wien)49 (1979), 245–254.
Tribolet, N. de, Schnyder, P., Livio, J. J., Boumghar, M., L'abord transthoracique des hernies discales dorsales. Neurochirurgie28 (1982), 187–193.
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Lesoin, F., Rousseaux, M., Autricque, A. et al. Thoracic disc herniations: Evolution in the approach and indications. Acta neurochir 80, 30–34 (1986). https://doi.org/10.1007/BF01809554
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DOI: https://doi.org/10.1007/BF01809554