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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 3, 356-360.
doi: 10.1302/0301-620X.87B3.15673  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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Anterior decompression and fusion for multiple thoracic disc herniation

K. Ohnishi, MD, Orthopaedic Surgeon; K. Miyamoto, MD, PhD, Orthopaedic Surgeon; Y. Kanamori, MD, Orthopaedic Surgeon; H. Kodama, PhD, Orthopaedic Surgeon; H. Hosoe, MD, Orthopaedic Surgeon; and K. Shimizu, MD, DMSc, Orthopaedic Surgeon, Professor

Department of Orthopaedic Surgery, Gifu University School of Medicine, Yanagido 1-1 Gifu City, Gifu 501193, Japan.

Correspondence should be sent to Professor K. Shimizu; e-mail: shim{at}cc.gifu-u.ac.jp

Multiple thoracic disc herniations are rare and there are few reports in the literature. Between December 1998 and July 2002, we operated on 12 patients with multiple thoracic disc herniations. All underwent an anterior decompression and fusion through a transthoracic approach. The clinical outcomes were assessed using the Frankel neurological classification and the Japanese Orthopaedic Association (JOA) score. Under the Frankel classification, two patients improved by two grades (C to E), one patient improved by one grade (C to D), while nine patients who had been classified as grade D did not change. The JOA scores improved significantly after surgery with a mean recovery rate of 44.8% ± 24.5%. Overall, clinical outcomes were excellent in two patients, good in two, fair in six and unchanged in two. Our results indicate that anterior decompression and fusion for multiple thoracic disc herniations through a transthoracic approach can provide satisfactory results.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General