Management of Giant Thoracic Disc Hernias by Thoracoscopy: Experience of 52 Cases

Completed

• Conditions: Myelopathy; Giant Thoracic Herniation
• Interventions: Procedure: Thoracoscopy

• Registration Number: NCT03295617
• Lead Sponsor: Hopital Foch

Brief Summary

Introduction: Giant thoracic disc herniation is a rare condition for which surgical treatment is indicated when there are signs of spinal cord injury. To date, several surgical techniques have been described in the treatment of this condition on small patient series. The main objective is to evaluate the long-term results of a series of 53 patients treated with a minimally invasive endoscopic procedure. The secondary objective is to explain our pre-operative planning and the technical details of our procedure. METHOD: Retrospective monocentric study on a cohort of patients treated in our department. The following medical data from our database are analyzed: Morbidity of operative gesture (duration of procedure, bleeding, postoperative complications), clinical results at the last follow-up visit (thoracic Japanese Orthopedic Association (JOA) score, Frankel score, parietal pain , ability to walk, wish to carry out the same intervention again if necessary). On the radiological level, we evaluated the quality of the resection (total, subtotal, incomplete and impossible), the reappearance of a border of cerebrospinal fluid perimedullary and the presence of an intramedullary T2 hyperintense signal MRI post- operative. All these data are collected and analyzed anonymously. Expected Results: We believe we can demonstrate that thoracoscopy is a valid therapeutic option in the treatment of thoracic disc herniation responsible for spinal cord compression. This with a low morbidity given the minimally invasive nature of the approach.

Detailed Description

Not available

Study Timeline

• Study Start: 2017-03-01
• Primary Completion: 2017-07-30
• Study Completion: 2017-07-30
• Status Verified: 2017-09
• Study First Submitted: 2017-09-25
• Study First Submitted QC: 2017-09-25
• Last Update Submitted: 2017-09-25
• Study First Posted: 2017-09-28
• Last Update Posted: 2017-09-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 52

Inclusion Criteria

• Patient operated on giant thoracic thoracic disc herniation between May 2001 and October 2016

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Exclusion Criteria

• none

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
spinal thoracic herniation	Thoracoscopy	-

Primary Outcome Measures

Name	Time	Method
Japanese Orthopedic Association Score	30 minutes

Secondary Outcome Measures

Name	Time	Method
Frankel score	30 minutes
Parietal pain measured by visual analogic scale	30 minutes

Trial Locations

Locations (1)

Hopital Foch; 🇫🇷 Suresnes, France