Historial del paciente

The patient complained of pain and paresthesia in the thoracic and lumbar spine, irradiando a los lados derecho e izquierdo a lo largo de los espacios intercostales, así como a la pared abdominal lateral y anterior derecha a niveles Th5–Th12.

Right-sided thoracic paraparesis se observó, así como afectación de la pared abdominal lateral y anterior. Se desarrolló disfunción de órganos internos — hígado, páncreas e intestinos — durante 8 meses con síntomas crecientes. Lumbar pain and paresthesia of both legs down to the feet developed. The patient was under constant strong pain medication.

Diagnóstico

  • 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

Informe quirúrgico — Método MIBRAR®

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®

Se realizaron RM de control tres meses después de la cirugía. Se visualiza el estado de la columna torácica tras la descompresión del canal espinal y resolución de la estenosis osteo-discogénica.

Thoracic MRI: condition after MIBRAR® — Th8-Th9 fracture, spinal canal decompression
MRI 3 months after MIBRAR®: Columna torácica 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.

Resultados del tratamiento

After 1 week
Complete absence of all symptoms. Thoracic pain, paresthesia, organ dysfunction ceased. Pain medication completely discontinued.
After 3 months
RM de control confirmed stenosis resolution and nerve structure decompression. Adhesion process in the dural membrane area not detectable.
A largo plazo
Symptoms did not recur. The patient has no limitations in daily and professional life, actively participates in sports. Open thoracic surgery was not required.

Importancia del caso

Compression fracture consequences of the thoracic spine with 25×15 mm la extrusión discal y el daño de la membrana dural pertenecen a la categoría más compleja de patología espinal. El tratamiento estándar implica una cirugía abierta de varias horas con fijación vertebral con tornillos transpediculares, extirpación de la extrusión y laminectomía descompresiva.

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.

Otros casos clínicos

Cervical spine
Cervical Stenosis C4–C6 + 5.8 mm Herniation
Female, 38 years. Herniation not detectable on follow-up MRI.
Columna lumbar
Scoliosis + Spondylolisthesis + 14 mm Herniation
Female, 54 years. Scoliosis resolved and disc regeneration.
Columna lumbar
Disc Degeneration + Spondylolisthesis
Female, 47 years. Reconstruction of L4/L5 and L5/S1 segments.
Articulación de rodilla
Meniscus Tear — Regeneration in 4 Weeks
Male, 56 years. Full recovery without arthroscopy.

¿Tiene una situación similar?

Envíe sus resonancias magnéticas — el Prof. Babayan evaluará personalmente la posibilidad del tratamiento MIBRAR® en su caso. La consulta es gratuita.

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+49 160 5736643