A Case of Herniated Thoracic Disc and a Case of Herniated Upper Lumbar Disc

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Case 1. A 43 years old man. The neurological signs were as follows; 1) sensory disturbance below bilateral T10 dermatome level, 2) bowel and bladder disturbance 3) spastic gait. Myelogram revealed complete block at the level of T9-10. Laminectomy was done from T9 to T11 inclusive. At the level of T9-10 disc on the right side, a protruded mass was removed. The recovery was excellent.Case 2. A 18 years old boy. The neurological signs as follows; 1) sensory disturbance below L1 dermatome level, 2) hyperreflexia, 3) right femoral and bilateral sciatic nerve stretch test positive. Myelogram revealed the contrast medium defect at the level of L1-2 intervertebral disc. Laminectomy was performed from L1 to L2. At the level of L1-2 disc on the right side, a protruded mass was removed. The recovery was poor.The microscopic findings of these were degenerated discs.
西日本整形・災害外科学会の論文