Surgical treatment of T1-2 disc herniation with T1 radiculopathy: A case report with review of the literature

Eun Seok Son, Sang Hun Lee, So Young Park, Ki Tack Kim, Chul Hyung Kang, Seong Woo Cho

Research output: Contribution to journalReview article

Abstract

The prevalence of intervertebral disc herniation (IDH) of the thoracic spine is rare compared to the cervical or lumbar spine. In particular, IDH of the upper thoracic spine is extremely rare. We report the case of Tl-2 IDH and its treatment, with a literature review. A 37-year-old male patient visited our hospital due to radiating pain at the left upper extremity and weakness of grip power. In cervical spine magnetic resonance images, Tl-2 disc space showed herniated disc material and compressed T1 root was identified. Laminoforaminotomy was performed with a posterior approach. The radiating pain and weakness of grip power improved immediately after the surgery. Of patients who show radiating pain or numbness at the medial aspect of forearm, or weakness of intrinsic muscle of hand, can be suspected to have T1 radiculopathy. A detailed physical examination and a radiologic evaluation including this area should be required for the T1 radiculopathy.

Original languageEnglish (US)
Pages (from-to)199-202
Number of pages4
JournalAsian Spine Journal
Volume6
Issue number3
DOIs
StatePublished - Sep 30 2012
Externally publishedYes

Keywords

  • Intervertebral disc
  • Laminotomy
  • Radiculopathy
  • Thoracic Vertebrae

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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