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[T1-T2 disc herniation: two cases].

O Gille1, H J-C Razafimahandry, C Söderlund

  • 1Service d'Orthopédie et de Traumatologie, Unité de Pathologie Rachidienne, Hôpital Pellegrin-Tripode, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux Cedex. olivier.gille@chu-bordeaux.fr

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|November 25, 2006
PubMed
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This study presents two rare cases of first thoracic disc herniation, predominantly caused by osteoarthritis. Early diagnosis via MRI is crucial for effective treatment of this uncommon spinal condition.

Area of Science:

  • Neurology
  • Neurosurgery
  • Radiology

Background:

  • Thoracic disc herniations are rare, particularly in the upper thoracic region.
  • Osteoarthritis is identified as a significant contributing factor in these cases.

Observation:

  • Two patients (60-year-old male, 55-year-old female) presented with exceptional first thoracic disc herniation.
  • Unlike typical calcified posterior herniations, these were soft and posterolateral.
  • Symptoms were limited to T1 radiculopathy, without myelopathy or Claude-Bernard-Horner syndrome.

Findings:

  • Magnetic Resonance Imaging (MRI) is the gold standard for diagnosing T1-T2 disc herniations.
  • Surgical intervention, when necessary, can be performed anteriorly without sternotomy.
  • Preoperative radiographic analysis is essential for surgical planning.

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Implications:

  • T1-T2 disc herniation should be considered in patients with cervico-brachial medial neuralgia.
  • Understanding the specific characteristics of upper thoracic disc herniations aids in diagnosis and treatment.
  • This research highlights the importance of advanced imaging and tailored surgical approaches for rare spinal pathologies.