Vertebral Fracture Th8–Th9 with Stenosis — Without Open Surgery

Hasta Öyküsü

The patient complained of pain and paresthesia in the thoracic and lumbar spine, interkostal boşluklar boyunca sağa ve sola, ayrıca Th5–Th12 seviyelerinde sağda lateral ve anterior karın duvarına yayılan.

Right-sided thoracic paraparesis kaydedildi, lateral ve anterior karın duvarı tutulumu da dahil. İç organ disfonksiyonu gelişti — karaciğer, pankreas ve bağırsaklar — 8 ay boyunca artan semptomlarla. Lumbar pain and paresthesia of both legs down to the feet developed. The patient was under constant strong pain medication.

Tanı

• 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

Compression fracture consequences of the thoracic spine with 25×15 mm disk ekstrüzyonu ve dural membran hasarı en karmaşık spinal patoloji kategorisine aittir. Standart tedavi, transpediküler vida vertebral fiksasyonu, ekstrüzyon çıkarılması ve dekompresif laminektomi ile çok saatlik açık cerrahi içerir.

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.