This occurs rarely (0.2% of all disc lesions) due to the relative rigidity of the thoracic spine.
- Root pain and/or
- Progressive or fluctuating paraparesis (may lead to mistaken diagnosis).
As vascular involvement may produce damage above the level of compression, sensory findings may be misleading.
A combination of sagittal and axial views on either MRI or CT myelography should clearly demonstrate the disc herniation and the extent of the associated cord compression.
MANAGEMENT Sagittal reconstruction of
Root pain - may settle with bed rest. CT scan at T11/12 level
. . showing cord compression
In the presence of cord compression or unremitting frQm g |grge djsc protrusion root pain, either a posterolateral or an anterior transthoracic approach is used to remove the disc.
(A posterior approach - laminectomy — carries an
Was this article helpful?
This guide will help millions of people understand this condition so that they can take control of their lives and make informed decisions. The ebook covers information on a vast number of different types of neuropathy. In addition, it will be a useful resource for their families, caregivers, and health care providers.