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Vol. 10. Issue 2.
Pages 136-142 (January 1999)
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Vol. 10. Issue 2.
Pages 136-142 (January 1999)
Abordaje transtorácico transpleural para la hernia de disco torácica: presentación de nueve casos
Transthoracic transpleural approach for thoracic disc herniation. A study of nine cases
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J.I. Pinto Rafael, R. Carda, F. Sanz, J.M. Izquierdo, A. Vázquez-Barquero, F. Trigueros, F. Montiaga, B. Paternina, B. Fernández
Servicio de Neurocirugía del Hospital Universitario Marqués de Valdecilla, Santander
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Resumen

Las hernias de disco torácicas son poco frecuentes representando del 0,15 al 1,7% del total de hernias discales. Generalmente son asintomáticas y sólo presentan sintomatología entre el 0,5 al 0,8% de todos los casos. Aparecen con más frecuencia entre la cuarta y sexta década de la vida. Nosotros realizamos un estudio retrospectivo en el que encontramos 9 pacientes diagnosticados de hernia de disco torácica, con edades de 41 a 73 años con un promedio de 54 años. Comentamos el cudro clínico, los diferentes estudios radiológicos utilizados, la técnica quirúrgica empleada y los resultados obtenidos en el Hospital Universitario Marqués de Valdecilla.

Palabras clave:
Hernia de disco torácica
Abordaje transtorácico transpleural
Summary

Herniated thoracic disc account for only 1% of all spinal disc herniations (0,15 to 1,7), most of them being asymptomatic. They seldom produce symptoms (0,5 to 0,8% of all cases) and occur predominantly between the ages of 30 and 60 years.

We have operated on 9 patients (ages between 41–73 years) in the last 13 years. Clinical course, radiologic and imaging studies, operative treatment, surgical technique and results are presented and discussed.

Key words:
Thoracic disc herniation
Thoracic approaches

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