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Journal of Orthopaedic Surgery and Research

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Open Access 01-12-2016 | Research article

Modified eggshell procedure via posterior approach for sclerosing thoracic disc herniation: a preliminary study

Authors: Si-Dong Yang, Qian Chen, Sheng-Hua Ning, Wen-Yuan Ding, Da-Long Yang

Published in: Journal of Orthopaedic Surgery and Research | Issue 1/2016

Abstract

Background

Clinically, sclerosing thoracic disc herniation is a disease with high surgical risk and various complications. Eggshell procedure is a surgical method used by surgeons to treat sclerosing thoracic disc herniation. The aim of this study was to report a modified eggshell procedure to treat sclerosing thoracic disc herniation.

Methods

Medical records of 25 patients with sclerosing thoracic disc herniation were collected between 2007/01 and 2010/08, including 14 males and 11 females, with an average age of 51.7 years old. Modified eggshell procedure was performed to treat the patients with sclerosing thoracic disc herniation. All patients were followed up. Japanese Orthopaedic Association (JOA) score was used to evaluate the clinical outcomes.

Results

All operations were performed successfully with complication rate of 12 %. There were 2 cases of dural laceration and 1 subdural hematoma. All included patients were followed up for at least 5 years, with the median of 6 years. JOA score of preoperation was 5 (IQR = 1) while it was 8 (IQR = 2) at final follow-up, with significant difference (Mann-Whitney U test, Z = −4.891, P < 0.001). The improvement rate of neurological status was 51.5 ± 23.1 %. According to the classification of improvement rate, there were 15 cases at good level, 8 cases at moderate level, and 2 cases without any improvement.

Conclusions

Modified eggshell procedure is a safe and effective surgical method when performed to treat sclerosing thoracic disc herniation in the clinical practice.

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Title: Modified eggshell procedure via posterior approach for sclerosing thoracic disc herniation: a preliminary study
Authors: Si-Dong Yang
Qian Chen
Sheng-Hua Ning
Wen-Yuan Ding
Da-Long Yang
Publication date: 01-12-2016
Publisher: BioMed Central
Published in: Journal of Orthopaedic Surgery and Research / Issue 1/2016
Electronic ISSN: 1749-799X
DOI: https://doi.org/10.1186/s13018-016-0438-2

At a glance: The STEP trials

Springer Medicine

Modified eggshell procedure via posterior approach for sclerosing thoracic disc herniation: a preliminary study

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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