Torakal Disk Hernisi

Özet

Şiddetli sırt ağrısı ve bacaklarda uyuşma şikayetiyle başvuran 46 yaşındaki kadın hastada, T11-T12 seviyesinde geniş tabanlı ve kalsifiye torakal disk hernisi saptanmıştırTedavi için minimal invaziv bir yöntem olan video yardımlı torakoskopik cerrahi (VATS) uygulanarak kalsifiye disk başarılı bir şekilde çıkartılmış ve omurilik üzerindeki bası kaldırılmıştırAmeliyat sonrası dönemde hastanın ağrıları ve duyusal şikayetleri tamamen geçerken, motor gücü tam iyileşme ile normale dönmüştürBu vaka, geleneksel torakotomiye göre daha az kan kaybı ve daha hızlı iyileşme sunan torakoskopik yaklaşımın etkinliğini göstermektedir.

 

A 46-year-old female patient presenting with severe back pain and leg numbness was diagnosed with a broad-based and calcified thoracic disc herniation at the T11-T12 levelA video-assisted thoracoscopic surgery (VATS), a minimally invasive technique, was performed to remove the calcified disc and decompress the spinal cordPostoperatively, the patient's pain and sensory complaints were completely resolved, and full motor strength was achievedThis case highlights the effectiveness of the thoracoscopic approach, which offers less blood loss and faster recovery compared to traditional thoracotomy.

Referanslar

Anand N, Regan JJ: Video-assisted thoracoscopic surgery for thoracic disc disease: Classification and outcome study of 100 consecutive cases with a 2-year minimum follow-up period. Spine (Phila Pa 1976) 27:871-879, 2002

Bomback DA, Charles G, Widmann R, Boachie-Adjei O: Video-assisted thoracoscopic surgery compared with thoracotomy: early and late follow-up of radiographical and functional outcome. Spine J 7:399-405, 2007

Elhadi AM, Zehri AH, Zaidi HA, Almefty KK, Preul MC, Theodore N, et al: Surgical efficacy of minimally invasive thoracic discectomy. J Clin Neurosci 22:1708-1713, 2015

Fessler RG, Sturgill M: Review: complications of surgery for thoracic disc disease. Surg Neurol 49:609-618, 1998

Quint U, Bordon G, Preissl I, Sanner C, Rosenthal D: Thoracoscopic treatment for single level symptomatic thoracic discherniation: a prospective followed cohort study in a group of 167 consecutive cases. Eur Spine J 21:637-645, 2012

Gelecek

8 Aralık 2022

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