A Rare Case of T1-2 Thoracic Disc Herniation Mimicking Cervical Radiculopathy

Gökcen, H. Bahadır; Erdoğan, Sinan; Gümüşsuyu, Gürkan; Ozturk, Sidar; Öztürk, Çağatay

doi:10.14444/4030

Cited by 10 publications

(7 citation statements)

References 25 publications

(23 reference statements)

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“…Considering the complexity of neural and vascular structures, surgical treatment of upper and mid thoracic disc herniation (UMTDH) is technically challenging [3,4]. Open surgical approach for THD include laminectomy, transpedicular approach, costotransversectomy, and transthoracic approach [5-7].…”

Section: Introductionmentioning

confidence: 99%

“…Open surgical approach for THD include laminectomy, transpedicular approach, costotransversectomy, and transthoracic approach [5-7]. For upper thoracic levels, axillary approach or transsternal approach is possible trajectory for transthoracic approach [3,4]. Although percutaneous endoscopic thoracic discectomy (PETD) has been introduced, technical feasibility and outcomes for UMTDH have not been reported.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous Endoscopic Thoracic Discectomy in the Upper and Midthoracic Spine: A Technical Note

et al. 2019

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Despite the successful application of percutaneous endoscopic thoracic discectomy (PETD), its technical feasibility and outcomes for symptomatic upper and midthoracic disc herniation have not been reported yet. The purpose of this article was to evaluate the feasibility of the percutaneous transforaminal endoscopic approach to remove disc herniations in the upper and midthoracic spine. Fourteen consecutive patients (mean age, 42.4 years; 12 males, 2 females) who underwent PETD were included in the analysis. The procedure was performed under local anesthesia and intravenous sedation using the standard endoscopy instrument set. The transforaminal approach combined with foraminoplasty was used to access the herniated areas. Treatment outcomes were evaluated using visual analogue scale (VAS) scores, Oswestry Disability Index (ODI) scores, and the modified MacNab criteria. Four discectomies were performed at T2–3, 5 at T3–4, and 5 at T5–6. The mean follow-up period was 43.4 months, and all patients showed statistically significant postoperative improvement (VAS: 7.3 to 2.3, ODI: 53.5 to 16.9, p<0.05 for all). No serious complications were reported during follow-up. PETD for upper and midthoracic disc herniation is a feasible and effective minimally invasive treatment option with favorable clinical results.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Percutaneous Endoscopic Thoracic Discectomy in the Upper and Midthoracic Spine: A Technical Note

et al. 2019

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“…When anterior chest wall pain is associated with upper back pain then radiographs of the thoracic spine are advisable. Disc prolapse in the thoracic spine is rare 27 and MRI scanning is indicated if there is any possibility of tumour or infection. 28 Osteoporotic vertebral fracture rarely presents with pain in the anterior chest but can usually be excluded by a lateral radiograph of the spine.…”

Section: Investigation Of Nccpmentioning

confidence: 99%

Non-Cardiac Chest Pain: management in the Ambulatory Clinic setting

Lanham

2019

Acute Med J

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Non-cardiac chest pain (NCCP) is a common presenting complaint which can be better managed. This requires the recognition of clinical sub-groups with investigation and treatment tailored accordingly. The aim of this paper is to encourage more accurate diagnoses and the better recognition of the source of chest pain. We discuss the appropriate investigations and management of each clinical sub-group.

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“…24/36 patients). [1,2,4,5,[7][8][9][11][12][13][14][15]17,18,21,[24][25][26]29,[31][32][33][35][36][37] Diagnosis of T1-T2 discs and therapeutic intervention MRI best documents soft T1-T2 thoracic discs, while computed tomography is typically optimal for calcified herniations.…”

Section: Frequency Of T1-t2 Discsmentioning

confidence: 99%

Untitled

2019

Surg Neurol Int

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Background: Symptomatic T1-T2 disc herniations are rare and, in most cases, are located posterolaterally. Posterior approaches may utilize transfacet pedicle-sparing techniques, while the less frequent central/anterolateral discs may warrant anterior surgery.Case Description: Here, we reviewed four cases of symptomatic T1-T2 disc herniations; two patients were paraparetic due to central discs and underwent anterior surgery utilizing a cage construct. e latter two cases had posterolateral discs contributing to a Brown-Sequard syndrome and radiculopathy, respectively; one patient required a transfacet pediclesparing procedure, while the second case was managed conservatively. All surgically treated patients recovered fully. Conclusions:We reviewed 4 cervical T1-T2 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. Follow-up magnetic resonance studies documented full resolution for the patient with radiculopathy and a posterolateral disc.

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A Rare Case of T1-2 Thoracic Disc Herniation Mimicking Cervical Radiculopathy

Abstract: Introduction

Cited by 10 publications

References 25 publications

Percutaneous Endoscopic Thoracic Discectomy in the Upper and Midthoracic Spine: A Technical Note

Percutaneous Endoscopic Thoracic Discectomy in the Upper and Midthoracic Spine: A Technical Note

Non-Cardiac Chest Pain: management in the Ambulatory Clinic setting

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