Asian Spine J.  2012 Sep;6(3):199-202. 10.4184/asj.2012.6.3.199.

Surgical Treatment of T1-2 Disc Herniation with T1 Radiculopathy: A Case Report with Review of the Literature

• Son ES
• Lee SH
• Park SY
• Kim KT
• Kang CH
• Cho SW

• KMID: 2270460
• DOI: http://doi.org/10.4184/asj.2012.6.3.199

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 T1-2 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, T1-2 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.

Keyword

Thoracic Vertebrae; Intervertebral Disc; Radiculopathy; Laminotomy

MeSH Terms

Adult
Forearm
Hand
Hand Strength
Humans
Hypesthesia
Intervertebral Disc
Intervertebral Disc Displacement
Laminectomy
Magnetic Resonance Spectroscopy
Male
Muscles
Physical Examination
Prevalence
Radiculopathy
Spine
Thoracic Vertebrae
Upper Extremity