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Thoracic disc prolapse

Authoring team

Thoracic disc prolapse is a rare complaint owing to the relative rigidity of the thoracic spine. It accounts for 0.2% of all disc lesions.

Presentation:

  • root pain and/or
  • progressive, fluctuating paraparesis

Investigation:

  • axial CT / MRI - demonstrates a midline thoracic disc protrusion
  • myelography - demonstrates an anterior filling defect at the level of the disc space

Treatment:

  • surgery - indicated if there is cord compression or unremitting root pain. An anterior transthoracic decompression provides the safest approach. Laminectomy carries a high risk of paraplegia.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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