Rahimizadeh A, Malekmohammadi Z, Williamson W, Amizadeh M. A Rare Scenario of Acute Traumatic Thoracic Disc Herniation and Review of the Literature. Iran J Neurosurg 2022; 8 (1) : 12
URL:
http://irjns.org/article-1-312-en.html
1- Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran , a_rahimizadeh@hotmail.com
2- Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran
Abstract: (1244 Views)
Background and Importance: Sequestrated thoracic disc herniation after a traumatic event without an apparent spinal fracture or dislocation is an extremely rare scenario.
Case Presentation: Evaluation of an elderly female with acute paraparesis secondary to a fall down to the ground revealed a right-sided extruded disc at the level of T10-T11. At 6-month follow-up, she made a dramatic recovery following an appropriate surgical intervention.
Conclusion: With occurrence of acute paraparesis following a traumatic event, MRI of the vertebral column is necessary, even in the absence of tomographic evidence of fracture-dislocation
Article number: 12
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• Acute Thoracic Disk Herniation (TDH) after a traumatic injury is a relatively rare scenario, with few cases reported in the literature.
• In presence of neurological deficit after traumatic events, total spine MRI (Magnetic Resonance Imaging) is justified, even in the absence of fracture-dislocation in plain radiographs or total spine multi-directional CT scan.
• In the case of sequestrated thoracic disc herniation, transfacet pedicle-sparing is the method of choice for discectomy.
Type of Study:
Case report |
Subject:
Spine