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Mr.Manoj Krishna. Mch orth,FRCS mr.Shailesh Hadgaonkar . MS orth,DOrth,FCPS Spinal Unit, UHNT, Stockton On Tees PowerPoint PPT Presentation


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Unusual Thoracic disc disease & Conus Compression. Mr.Manoj Krishna. Mch orth,FRCS mr.Shailesh Hadgaonkar . MS orth,DOrth,FCPS Spinal Unit, UHNT, Stockton On Tees. In brief:. 44 yr /F Reffered by GP on urgent basis

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Mr.Manoj Krishna. Mch orth,FRCS mr.Shailesh Hadgaonkar . MS orth,DOrth,FCPS Spinal Unit, UHNT, Stockton On Tees

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Unusual thoracic disc disease conus compression l.jpg

Unusual Thoracic disc disease &

Conus Compression

Mr.Manoj Krishna. Mchorth,FRCSmr.ShaileshHadgaonkar. MS orth,DOrth,FCPSSpinal Unit, UHNT, Stockton On Tees


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In brief:

  • 44 yr /F

  • Reffered by GP on urgent basis

  • Sudden development of difficulty in walking, pain in mid back , Urinary distribance


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MRI Evaluation

D10-11 Compression

Large disc prolapse at D10-11


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On Cross Sections-Axial Image

AXIAl MR

AXIAL CT


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MR & CT

Calcified disc+Osteophyte

Calcified Mass


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Decompression + Dynamic Stabilisation

AP

Lat


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Outcome & Message

  • Post op, she improved significantly.

  • Neurologic , urinary improvement & back pain reduced, she is back to work

  • Message : Thoracic disc protrusions through rare, can be diagnosed late. Check for a sensory level on trunk in all cases


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