J Minim Invasive Spine Surg Tech.  2025 Jan;10(Suppl 1):S14-S19. 10.21182/jmisst.2024.01564.

Unilateral Biportal Endoscopic Discectomy for Upper Thoracic Herniated Discs (T1–2): A Case Report and Technical Notes

• Hahn BS
• Park CK
• Hwang JS
• Cho YE
• Jang JW
• Lee DG

• KMID: 2566275
• DOI: http://doi.org/10.21182/jmisst.2024.01564

Abstract

This report presents 2 cases of T1–2 disc herniation managed with unilateral biportal endoscopic (UBE) discectomy. Both patients experienced severe arm pain and neurological impairments due to paracentral disc herniations at the T1–2 level, prompting UBE discectomy. The procedures were completed without complications, leading to substantial pain relief and neurological improvement. No symptom recurrence was observed for up to 27 months postoperatively. These cases highlight that, with appropriate indications and refined techniques, UBE discectomy is a feasible and effective surgical approach for T1–2 disc herniation, offering precise visualization and a secure operative field. Further experience and research may solidify the role of this procedure in treating upper thoracic spine lesions.

Keyword

Unilateral biportal endoscopy; Thoracic herniated disc; Discectomy; Radiculopathy; Endoscopic discectomy