Diagnosis and treatment of disc herniation at cervical vertebra 7-thoracic vertebra 1 (C(7)-T(1)).
- Author:
Guo-qing ZHANG
1
;
Ming PENG
;
Xue-xiao MA
;
You-gu HU
;
Bo-hua CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Cervical Vertebrae; Female; Follow-Up Studies; Humans; Intervertebral Disc Displacement; diagnosis; surgery; Male; Middle Aged; Retrospective Studies; Thoracic Vertebrae; Treatment Outcome
- From: Chinese Journal of Surgery 2010;48(7):515-517
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the outcome of laminoforaminotomy with posterolateral discectomy for patients with lateral disc herniation at C(7)-T(1).
METHODSFrom August 2000 to August 2008, 12 patients with lateral disc herniation at C(7)-T(1) underwent posterolateral discectomy were analyzed retrospectively. Neurologic function were evaluated with the Motor Scoring System. Preoperative motor were compared with postoperative one. The unique clinical manifestation, imageology features and intraoperative findings were analyzed.
RESULTSAll these twelve patients were lateral type. All the patients showed hand intrinsic muscles atrophy and hand weakness. Nine patients had no paraesthesia. The average follow-up period was 26 months. Postoperative scores were significantly higher than preoperative ones.
CONCLUSIONSDisc herniation at C(7)-T(1) is predominantly lateral type and present C(8) nerve motor deficit (hand intrinsic muscles atrophy and hand weakness) and only minority has paraesthesia in C(8) nerve dermatome. Posterolateral cervical discectomy technique is safe and effective for patients with lateral disc herniation at C(7)-T(1).
