THORACIC SPINAL STENOSIS - DIAGNOSTIC AND TREATMENT CHALLENGES

被引：39

作者：

EPSTEIN, NE

SCHWALL, G

机构：

[1] Division of Neurosurgery, Department of Surgery, North Shore University Hospital, Manhasset

[2] Cornell University Medical College, New York

来源：

JOURNAL OF SPINAL DISORDERS | 1994年 / 7卷 / 03期

关键词：

THORACIC STENOSIS;

D O I：

10.1097/00002517-199407030-00011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Thoracic stenosis may be defined by a narrowing of the anteroposterior (AP) diameter of the thoracic spinal canal to < 10 mm. Primary thoracic stenosis, documented when myelography is carried beyond the thoracolumbar junction into the upper thoracic canal, is most frequently associated with lumbar stenosis, whereas secondary stenosis, attributed to endocrinopathies and systemic diseases, more typically involves the entire spinal canal. Recognition of the presence of primary or secondary thoracic stenosis and the entire extent of attendant disease in the adjacent cervical or lumbar regions is essential to proper surgical management. Nine cases of primary and one instance of secondary thoracic spinal stenosis were reviewed. Seven of nine patients with primary thoracic stenosis had accompanying lumbar involvement, whereas one patient with secondary stenosis attributed to acromegaly had cervical, thoracic, and lumbar stenosis.

引用

页码：259 / 269

页数：11

共 13 条

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