MR studies documented a soft central disc in one patient, and a calcified central disc in the second [Figures 1 and 2 ]. A spine specialist determines if surgery is the best option. J Neurosurg 1998;88:148-150. eCollection 2021. This is the least common location for radiculopathy. your express consent. one or two days) and activity modification (eliminating the activities and positions that worsen or cause the thoracic back pain). Asian Spine J 2012;6:199-202. Cervical radiculopathy is a disease process marked by nerve compression from herniated disk material or arthritic bone spurs. While the diagnosed problems at the C7-T1 level are less common,2 research suggests that CTJ injuries may be missed during due to difficulties in visualizing this region on plain X-Ray films.3 A few conditions that may affect the CTJ are: In severe cases, CTJ injuries may affect the spinal cord or the C8 nerve roots. Before (e) Axial CT scan shows a pedicle screw in an upper thoracic vertebra. The surgically treated patients all markedly recovered over an average of 3.87 years follow-up (range: 6 months7 years). Management of Thoracic Disc Herniations via Posterior Unilateral Modified Transfacet Pedicle-Sparing Decompression With Segmental Instrumentation and Interbody Fusion. 25: 910-6, 32. (b) Axial view showing the central location of the disc. Radiation of pain in the upper arm on the front side. All the discs in the spine, have an inner soft part with harder shell outside. 2012. 1-3 The most affected area in the thoracic region is the T11-12 level. Conclusions:We reviewed 4 cervical T1T2 disc herniations; two central/anterolateral lesions warranting anterior surgical approaches/cages, and 2 lateral discs treated with a posterolateral transfacet, pedicle-sparing procedure and no surgery respectively. 7: 189-92, 30. 14. It is important to understand the symptoms, causes, and treatments for a bulging disc to prevent the condition from worsening. Krasnianski M, Georgiadis D, Grehl H, Lindner A: Correlation of clinical and magnetic resonance imaging findings in patients with brainstem infarction. JPM | Free Full-Text | Extraforaminal Full-Endoscopic Approach for the Surgical approaches to thoracic disk herniations correlate with patient anatomy, location of nerve root compression, and surgeon familiarity. This fact is most likely explained by the restricted mobility and facet orientation of the thoracic spine. Anterior surgery can be achieved without sternotomy. Please enable it to take advantage of the complete set of features! But they can also happen after more severe trauma in the absence of osteoporosis or as a result of tumors on your spine. Careers. Acute traumatic sequestrated thoracic disc herniation: A case report and review. 2022 Jan;212:107062. doi: 10.1016/j.clineuro.2021.107062. Horner syndrome with associated T1 weakness and paresthesias is representative of many etiologies (Table 2). A Rare Case of T1-2 Thoracic Disc Herniation Mimicking Cervical Case report. Given the neurologic findings on examination, a cervical and thoracic MRI was obtained which revealed T1-T2 left paracentral disk extrusion with mild superior migration and left intraforaminal extension causing moderate left lateral recess stenosis and abutment of the left T1 nerve root (Figure 2). 17. 17: 418-30, 4. Symptoms such as these are primarily determined by the location of the cervical herniated disc. Among these diseases To set the slipped disc to normal is one. Sharan AD, Przybylski GJ, Tartaglino L. Approaching the upper thoracic vertebrae without sternotomy or thoracotomy:A radiographic analysis with clinical application. Conclusions: Furthermore, more than 75% of thoracic protrusions are located below T8, and only approximately 3% occur at the T1-T2 level, as in our patient.

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