Patient History

The patient complained of pain and paresthesia in the thoracic and lumbar spine, radiating to right and left sides along the intercostal spaces, as well as to the lateral and anterior abdominal wall on the right at Th5–Th12 levels.

Right-sided thoracic paraparesis was noted, as well as lateral and anterior abdominal wall involvement. Internal organ dysfunction developed — liver, pancreas, and intestines — over 8 months with increasing symptoms. Lumbar pain and paresthesia of both legs down to the feet developed. The patient was under constant strong pain medication.

Diagnosis

Old compression fracture of Th8 and Th9 vertebrae with contusion ventrolateral disc extrusion on the right measuring 25 mm × 15 mm
Ventral central-lateral osteo-discogenic stenosis with spinal cord membrane (Dura mater) damage and adhesion process in the Th6/Th7 area
Bilateral Th7 root compression — bilateral radiculopathy with neurological deficit

Surgical Report — MIBRAR® Method

Microinvasive procedure performed in June 2015 at the MIBRAR clinic (Munich) under Prof. Dr. med. Arsen Babayan.

Flexible epidural catheterization of the thoracic spinal canal using ventral approach — navigation to the stenosis zone
Mechanical destruction of the osteo-cartilaginous stenosing correlate — spinal cord and root decompression without open surgery
Dilation of the stenosis zone — spinal canal lumen restoration
CGF concentrate application (blood plasma, young platelets with growth factors, late platelets with anti-inflammatory factors) — regeneration stimulation and anti-inflammatory effect
Treatment zones: spinal canal in the Th6–Th9 area, adhesion zone, Th7 root compression area

MRI Scans 3 Months After MIBRAR®

Follow-up MRI scans were performed three months after surgery. The condition of the thoracic spine after spinal canal decompression and osteo-discogenic stenosis resolution is visualized.

$Thoracic MRI: condition after MIBRAR® — Th8-Th9 fracture, spinal canal decompression$

MRI 3 months after MIBRAR®: Thoracic spine in the Th6–Th9 area. Spinal canal free, no signs of stenosis. Adhesion process in the Dura mater area not detectable. Th7 root compression resolved.

Treatment Results

After 1 week

Complete absence of all symptoms. Thoracic pain, paresthesia, organ dysfunction ceased. Pain medication completely discontinued.

After 3 months

Follow-up MRI confirmed stenosis resolution and nerve structure decompression. Adhesion process in the dural membrane area not detectable.

Long-term

Symptoms did not recur. The patient has no limitations in daily and professional life, actively participates in sports. Open thoracic surgery was not required.

Case Significance

Compression fracture consequences of the thoracic spine with 25×15 mm disc extrusion and dural membrane damage belong to the most complex spinal pathology category. Standard treatment involves a multi-hour open surgery with transpedicular screw vertebral fixation, extrusion removal, and decompressive laminectomy.

MIBRAR® achieved complete symptom resolution within one week — including paraparesis, internal organ dysfunction, and chronic pain syndrome — without open surgery, without metal fixation, on an outpatient basis. Flexible epidural catheterization with mechanical dilation and CGF provided canal decompression and damaged tissue regeneration.

Particularly notable is the restoration of internal organ function (liver, pancreas, intestines), disrupted due to thoracic root compression — a result virtually unachievable with conservative methods.