Thoracic Disc Herniation - Everything You Need To Know - Dr. Nabil Ebraheim скачать в хорошем качестве

Thoracic Disc Herniation - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes Thoracic Disc Herniation. There are 12 vertebrae in the thoracic region. The spinal canal in the thoracic region is relatively small. The spinal cord could be easily compressed or injured in this area. Pain in the thoracic region can occur from: •Cardiovascular origin. •Pulmonary •Tumors •Infection •Compression fractures •Mediastinal structures. Point of consideration is thoracic disc herniation It occurs more in the lower thoracic region usually during the fifth decade of life. Pain radiates to the ribs and anteriorly at the same level. Disc herniation is uncommon and most are asymptomatic Radicular pain anteriorly towards the rib (nerve root irritation). Myelopathy can occur from spinal cord compression. The patient could have gait disturbance, leg weakness as well as bladder and bowel dysfunction. Myelopathic findings are usually subtle. Look for upper motor neuron signs such as hyperreflexia, clonus and Babinski. Diagnosis is usually by MRI. MRI will help in ruling out the presence of fractures, tumors or infections. Although MRI is the study of choice, it has a high false positive rate. Asymptomatic patients may show thoracic disc abnormality on their MRI. Conservative treatment includes: •NSAIDs •Physical therapy Surgery is indicated when the patient has pain that is not responding to conservative treatment for 6 months. Thoracic disc herniation with myelopathy. Most of the surgeries are done by anterior approach with or without fusion. Fusion is done for spine instability and for significant pain. Laminectomy is contraindicated. Become a friend on facebook:   / drebraheim   Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC