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

Fingerprint

Radiculopathy
Intervertebral Disc
Spine
Hand Strength
Pain
Thorax
Intervertebral Disc Displacement
Hypesthesia
Muscle Weakness
Therapeutics
Forearm
Upper Extremity
Physical Examination
Magnetic Resonance Spectroscopy
Hand
Power (Psychology)

Keywords

  • Intervertebral disc
  • Laminotomy
  • Radiculopathy
  • Thoracic Vertebrae

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Surgical treatment of T1-2 disc herniation with T1 radiculopathy : A case report with review of the literature. / Son, Eun Seok; Lee, Sang Hun; Park, So Young; Kim, Ki Tack; Kang, Chul Hyung; Cho, Seong Woo.

In: Asian Spine Journal, Vol. 6, No. 3, 30.09.2012, p. 199-202.

Research output: Contribution to journalReview article

Son, Eun Seok ; Lee, Sang Hun ; Park, So Young ; Kim, Ki Tack ; Kang, Chul Hyung ; Cho, Seong Woo. / Surgical treatment of T1-2 disc herniation with T1 radiculopathy : A case report with review of the literature. In: Asian Spine Journal. 2012 ; Vol. 6, No. 3. pp. 199-202.
@article{13d6e124232d450cba13d252d8395296,
title = "Surgical treatment of T1-2 disc herniation with T1 radiculopathy: A case report with review of the literature",
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.",
keywords = "Intervertebral disc, Laminotomy, Radiculopathy, Thoracic Vertebrae",
author = "Son, {Eun Seok} and Lee, {Sang Hun} and Park, {So Young} and Kim, {Ki Tack} and Kang, {Chul Hyung} and Cho, {Seong Woo}",
year = "2012",
month = "9",
day = "30",
doi = "10.4184/asj.2012.6.3.199",
language = "English (US)",
volume = "6",
pages = "199--202",
journal = "Asian Spine Journal",
issn = "1976-1902",
publisher = "Korean Society of Spine Surgery",
number = "3",

}

TY - JOUR

T1 - Surgical treatment of T1-2 disc herniation with T1 radiculopathy

T2 - A case report with review of the literature

AU - Son, Eun Seok

AU - Lee, Sang Hun

AU - Park, So Young

AU - Kim, Ki Tack

AU - Kang, Chul Hyung

AU - Cho, Seong Woo

PY - 2012/9/30

Y1 - 2012/9/30

N2 - 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.

AB - 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.

KW - Intervertebral disc

KW - Laminotomy

KW - Radiculopathy

KW - Thoracic Vertebrae

UR - http://www.scopus.com/inward/record.url?scp=84866852851&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84866852851&partnerID=8YFLogxK

U2 - 10.4184/asj.2012.6.3.199

DO - 10.4184/asj.2012.6.3.199

M3 - Review article

C2 - 22977700

AN - SCOPUS:84866852851

VL - 6

SP - 199

EP - 202

JO - Asian Spine Journal

JF - Asian Spine Journal

SN - 1976-1902

IS - 3

ER -