tailieunhanh - Báo cáo y học: "Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Percutaneous laser disc decompression for thoracic disc disease: report of 10 cases. | Int. J. Med. Sci. 2010 7 155 International Journal of Medical Sciences 2010 7 3 155-159 Ivyspring International Publisher. All rights reserved Research Paper Percutaneous laser disc decompression for thoracic disc disease report of 10 cases Scott . Haute1 3 s Anthony R. Mork2 3 Morgan Pyne4 and Ryan A. Baker4 1. Chief of Pain Medicine and Anesthesiology 2. Chief of Spine Surgery 3. MicroSpine DeFuniak Springs FL 32435 USA 4. University of South Florida Medical Student ISI Corresponding author Scott . Haufe . 101 MicroSpine Way DeFuniak Springs FL 32435. Phone 888-642-7677 Fax 850-892-4212 Email Haufe@ Received Accepted Published Abstract Background Discogenic pain or herniation causing neural impingement of the thoracic vertebrae is less common than that in the cervical or lumbar regions. Treatment of thoracic discogenic pain usually involves conservative measures. If this fails conventional fusion or discectomy can be considered but these procedures carry significant risk. Objectives To assess the efficacy and safety of percutaneous laser disc decompression PLDD for the treatment of thoracic disc disease. Methods Ten patients with thoracic discogenic pain who were unresponsive to conservative intervention underwent the PLDD procedure. Thoracic pain was assessed using the Visual Analog Scale VAS scores preoperatively and at 6-month intervals with a minimum of 18-months follow-up. Patients were diagnosed and chosen for enrollment based on abnormal MRI findings and positive provocative discograms. Patients with gross herniations were not included. Results Length of follow-up ranged from 18 to 31 months mean mo . Median pretreatment thoracic VAS score was range 5- 10 and median VAS score at final follow-up was range 0-9 . Postoperative improvement was significant with a 99 confidence interval. Of interest patients generally fell into two groups those with significant pain reduction and those with .