【摘要】 本文报告胸椎间盘脱出症外科治疗12例,前10例用后入路椎板切除术,效果较差(进步3例,无效2例,恶化3例,严重恶化2例);后2例改用“扩大后外入路”,疗效显著提高.介绍了“扩大后外入路”的操作方法,并就后入路椎板切除木的评价及“扩大后外入路”的优缺点进行了讨论。更多还原

【Abstract】 12 cases of herniation of thoracic intervertebral disc with spinal cord compression werereported.Among them,10 cases were operated on through posterior route by laminectomy,with unfavorable results.After deconpression with or without disc removal,5 cases wererendered completely paraplegic.Only 3 cases were benefited by the operation.Since 1972,the author adopted“enlarged postero-lateral route”to remove the disused disc,togetherwith the spondylotic osteophites if present.This operation was performed in the remaining2 cases.Both patients were benefited by the operation.One of them,who was completelyparaplegic before operation,could walk without help for one kilometer 8 months afteroperation.This operation consists of costo-transversectomy and removal of the pedicle and laminaof the spine.It allows a thorough exploration of the spinal canal so that it is also suitablefor removal of other kinds of lesions anterior to the spinal cord.更多还原