Warning: fopen(/home/virtual/e-kjs/journal/upload/ip_log_2022-01.txt): failed to open stream: Permission denied in /home/virtual/lib/view_data.php on line 73 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 74 Thoracolumbar Junction Disc Herniations: Clinical Features and Surgical Approaches
Korean J Spine Search

CLOSE


16
Thoracolumbar Junction Disc Herniations: Clinical Features and Surgical Approaches
Hyo Sang Lee, M.D., Dong Ah Shin, M.D., Do Heum Yoon, M.D., Hyun Cheol Shin, M.D., Keung Nyun Kim, M.D.
Department of Neurosurgery, Yonsei University College of Medicine, Spine and Spinal Cord Institute, Seoul, Korea
Thoracolumbar Junction Disc Herniations: Clinical Features and Surgical Approaches
Hyo Sang Lee, M.D., Dong Ah Shin, M.D., Do Heum Yoon, M.D., Hyun Cheol Shin, M.D., Keung Nyun Kim, M.D.
Department of Neurosurgery, Yonsei University College of Medicine, Spine and Spinal Cord Institute, Seoul, Korea
Abstract
Objectives: To evaluate the clinical features of thoracolumbar junction(TLJ) disc herniations and to determine appropriate surgical approaches.
Materials and Methods: A retrospective analysis of 33 patients with single level TLJ disc herniations undergoing ope- rations was performed. Medical records, operative findings, and radiologic data were assessed. TLJ was defined as the level from T11-12 to L2-3. The mean follow-up period was 21.8 months.
Results: Mean age was 47.3 years. Affected disc levels were T11-T12 in 5 patients, T12-L1 in 2 patients, L1-L2 in 6 patients, and L2-L3 in 20 patients. Soft disc herniations were detected in 24 patients, while the remainder showed hard disc herniations such as a bony spur or calcification. Thirty-one patients presented with pain as their chief complaint and radicular pain was the most common symptom(n=14). Various neurologic deficits including upper motor neuron syndrome, lower motor neuron syndrome, and radiculopathy were observed in 27 patients and were not related to the affected levels. Twenty-four patients with lateral disc herniations or central soft disc herniations underwent partial hemilaminectomy and facetectomy, and the remaining patients(n=9) with central disc herniations or severely calcified disc herniations underwent total facetectomy and subsequent posterior fusion. There were 7 cases with complications including dural tear, mild motor and sensory deficits, and bladder and bowel dysfunction without permanent morbidities.
Conclusion: TLJ disc herniation shows variable symptoms and signs due to its unique anatomy. It can be safely managed by the correct surgical approach as determined by the location and type of disc herniation.
Keywords: Herniated discㆍLumbar vertebraeㆍThoracic vertebraeㆍOperative procedures


Editorial Office
Department of Neurosurgery, Yonsei University College of Medicine
50-1, Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
Tel: +82-2-2228-2158  E-mail: theneurospine@gmail.com
The Korean Spinal Neurosurgery Society
#407, Dong-A Villate 2nd Town, 350 Seocho-daero, Seocho-gu, Seoul 06631, Korea
Tel: +82-2-585-5455  Fax: +82-2-2-523-6812  E-mail: ksns1987@gmail.com
Business License No.: 209-82-62443

Copyright © The Korean Spinal Neurosurgery Society.

Developed in M2PI

Close layer
prev next