[ Follow Ups ] [ Post Followup ] [ The Neurology Forum ] [ FAQ ]
Posted by CCF NEUROSURGERY MD on August 12, 1997 at 22:10:56:
In Reply to: thoracic disc rupture posted by judith a gearhart on July 25, 1997 at 17:25:29:
: I have had a ruptured disc t 11-12 from a fall in the bathtub, repaired approximately 5 yrs ago. 2 yrs. ago I was told it reruptured, but to wait until I couldn,t stand the pain anymore. Recently I bent down in the car and had a muscle spasm on opposite side of initial injury. Now I experience numbness and tingling on both sides down to legs, especially in left leg-also known to have bulging L5S1. I have not had any studies completed yet but feel I may have a recurrence. What are my options if it proves to be reputured-told by neurosurgeon 2 yrs ago that they would have to do an anterior approach. What are my options and who are excellent neurosurgeons-none in Lima area.
A thoracic disc herniation is a rare condition that is much harder to
treat than the more common lumbar disc.There are at least 3 different
surgical approaches to the problem and it sounds like surgery is your
only option for a lasting result.
1)From behind (posterior): not a very good choice especially if the disc
is ruptured in the central area
2)Postero-lateral (from the side and behind): results are better with this
but it is a bigger operation that requires removal of more bone and
sometimes part of a rib to allow the surgeon to reach around the spinal
cord to reach the disc
3)anterior or transtoracic (from the front and through the chest):
This is the best operation but also the biggest with 2/3 of people
completely cured and 1/3 feeling much better.
No. 3 requires an experienced thoracic surgeon and neurosurgeon for the
My advice would be that you need a new MRI scan since your previous
studies probably predate your new symptoms. Then you should decide with
your own physician whether a consultation or at least a second opinion at
the Cleveland Clinic or other large center near Lima would be appropriate.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.