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Journal of Korean Neurosurgical Society 1990;19(4): 487-496.
Thoracic Spinal Stenosis.
Hyun Jib Kim, Sun Ha Pack, Young Kyu Kim, Sun Ho Lee, Hee Won Jung, Dae Hee Han, Bo Sung Sim, Kil Soo Choi
Department of Neurosurgery, Seoul National University, College of Medicine, Seoul, Korea.
ABSTRACT
A stenotic spinal canal in the cervical or lumbar region is a well-known clinical entity. However, stenosis involving a thoracic vertebra is rarely mentioned in the literature. Improved neuroimaging facilities, especially MRI, let us detect the thoracic canal stenosis not so infrequently as in the past years. The authors are reporting six operative cases of thoracic myelopathy associated with thoracic spinal stenosis. Motor & sensory abnormalities were found in all cases during the clinical course. Magnetic resonance imaging and Metrizamide CT scanning were useful in the diagnosis of thoracic spinal stenosis. Treatment consited of wide posterior decompression resulting in symptomatic improvement in five of six patients.
Key Words: Thoracic spinal stenosis; Myelopathy; MRI; Metrizamide CT
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