患者病史

The patient complained of pain and paresthesia in the thoracic and lumbar spine,沿肋间隙向左右两侧放射，以及向右侧Th5–Th12水平的侧腹壁和前腹壁放射。

Right-sided thoracic paraparesis 被记录，同时侧腹壁和前腹壁受累。内脏功能障碍发展——肝脏、胰腺和肠道——8个月内症状加重。 Lumbar pain and paresthesia of both legs down to the feet developed. The patient was under constant strong pain medication.

诊断

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

手术报告 — MIBRAR®方法

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疗法F 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®

术后三个月进行了复查MRI扫描。可视化胸椎在椎管减压和骨-椎间盘源性狭窄消除后的状况。

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

MRI 3 months after MIBRAR®: 胸椎 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.

治疗结果

After 1 week

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

After 3 months

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

长期

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

病例意义

Compression fracture consequences of the thoracic spine with 25×15 mm 椎间盘突出和硬膜损伤属于最复杂的脊柱病理类别。标准治疗包括数小时的开放手术，经椎弓根螺钉椎体固定、突出物切除和减压椎板切除术。

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疗法F 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.