Surgical treatment of thoracic disc herniation Progress.docVIP

 PAGE \* MERGEFORMAT 25 Surgical treatment of thoracic disc herniation Progress 【Key Words】 thoracic disc herniation Thoracic disc herniation is relatively rare in clinical practice, the incidence rate of less than one in a million per year 〔1〕, in all disc herniation accounts for about 025% ~ 075% 〔2〕, in recent years, with the right understanding of the disease imaging continued to deepen its diagnostic imaging technology continues to evolve, in particular magnetic resonance (MRl) check the increasingly widespread application of the current rate for the clinical diagnosis of the disease are reported in the trend of gradually increasing 〔3〕. The clinical manifestations of thoracic disc herniation is more complicated and lack of specificity in clinical practice more prone to misdiagnosis and missed diagnosis. Eleraky other 〔4〕 reported three cases of thoracic disc herniation in patients with cardiovascular disease, its clinical performance and confused, in the clinical require careful differential diagnosis. Once the disease, spinal cord compression symptoms Duocheng sexual development, but also more associated with cauda equina nerve damage, and therefore a relatively high morbidity, diagnosis, once established, many require surgery 〔5〕. And there is a big operation itself, the difficulty and risk. At present, for the diagnosis of the disease has been significant advances in the treatment of the disease studies have relatively high at home and abroad, in view of thoracic spinal cord-specific anatomical characteristics of the segments of the surgical risks are relatively large, therefore, choose the appropriate surgical approach to minimize the spinal cord and nerve root stretch to stimulate particularly important. Now in progress in surgical treatment for a summarized below. A posterior thoracic decompression laminectomy discectomy Posterior laminectomy was born in the 20th century, 30’s, a relatively simple surgical methods