Radiographic and clinical features of thoracic disk disease associated with myelopathy: a retrospective analysis of 257 cases.
Clinical features
Radiographic characteristics
THD with ossification
Thoracic disk diseases
Thoracic disk herniation
Journal
European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
ISSN: 1432-0932
Titre abrégé: Eur Spine J
Pays: Germany
ID NLM: 9301980
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
25
08
2020
accepted:
28
11
2020
revised:
11
11
2020
pubmed:
4
1
2021
medline:
23
9
2021
entrez:
3
1
2021
Statut:
ppublish
Résumé
To analyze the clinical and radiographic characteristics of thoracic disk disease associated with myelopathy (TDM). This is a retrospective clinical review of prospectively collected imaging data based at a single institute. Based on preoperative CT and MRI, we classified TDM as thoracic disk herniation (TDH), THD with ossification (THDO), TDH with posterior bony avulsions of the vertebrae (TDH with PBA), TDH with posterior vertebral osteophytes (TDH with PVO), giant thoracic osteophyte and calcific discitis with herniation (CDH). Patient characteristics and radiographic data were compared between different types of TDM. Among the 257 patients included, 12.06% of patients presented with symptoms after traumatic events. The most frequent complaint at onset and preoperative was back pain (29.2%) and subjective lower limb weakness (75.5%), respectively. All TDH with PBA is distributed at the lower thoracic segments, while CDH predominantly in the middle and lower thoracic segments. TDH with PBA was more frequent in men than TDH and CDH. Compared with TDH, TDHO, and TDH with PVO, TDH with PBA was younger in surgery age, and TDH and CDH had lower preoperative JOA scores than TDH with PBA. CDH had a larger ventral occupying ratio than TDH, TDHO, and TDH with PBA. The onset of TDM was generally insidious but may be triggered acutely by apparently trivial events. With a low prevalence, TDM varied clinical symptoms. Different types of TDM had various clinical features, which might indicate different pathological mechanisms.
Identifiants
pubmed: 33389202
doi: 10.1007/s00586-020-06688-x
pii: 10.1007/s00586-020-06688-x
doi:
Banques de données
ChiCTR
['ChiCTR2000030948']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2211-2220Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.
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