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

NCT03295617 | Completed

• 1 other identifier: 2017/xx
• Study Type: observational
• Target: 52
• Locations: 1 country
• Sites: 1

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.

Conditions

Giant Thoracic Herniation; Myelopathy

Keywords

spinal thoracic herniation; surgery; endoscopic approach; thoracic spine; minimal invasive access

Outcome Measures

Primary Outcomes (1)

• Japanese Orthopedic Association Score

  30 minutes

Secondary Outcomes (2)

• Frankel score

  30 minutes

• Parietal pain measured by visual analogic scale

  30 minutes

Study Arms (1)

spinal thoracic herniation

Procedure: Thoracoscopy

Interventions

Thoracoscopy PROCEDURE

Thoracoscopy surgery

spinal thoracic herniation

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

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

You may qualify if:

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

You may not qualify if:

• none

Sponsors & Collaborators

• Hopital Foch: lead

Study Sites (1)

Hopital Foch

Suresnes, 92150, France

Location

MeSH Terms

Conditions

Spinal Cord Diseases

Interventions

Thoracoscopy

Condition Hierarchy (Ancestors)

Central Nervous System Diseases; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Endoscopy; Diagnostic Techniques, Surgical; Diagnostic Techniques and Procedures; Diagnosis; Minimally Invasive Surgical Procedures; Surgical Procedures, Operative; Thoracic Surgical Procedures

Study Officials

• David Brauge, MD

  Hopital Foch

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 25, 2017
• First Posted: September 28, 2017
• Study Start: March 1, 2017
• Primary Completion: July 30, 2017
• Study Completion: July 30, 2017
• Last Updated: September 28, 2017

Record last verified: 2017-09

Locations

FR (1)