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Updated: Jan 30, 2026

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Traumatic Sequestrated Thoracic Disc Herniation; A Case Report.

Ahmet Ogrenci1, Orkun Koban, Mesut Yilmaz

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Summary

This case report highlights a rare traumatic thoracic disc herniation causing paraplegia. Prompt MRI and surgical decompression led to a full neurological recovery in a young man.

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Area of Science:

  • Neurosurgery
  • Spinal Surgery
  • Traumatology

Background:

  • Traumatic thoracic disc herniations are exceptionally rare.
  • They can occur without apparent bony injury, complicating initial diagnosis.

Observation:

  • A 25-year-old male presented with paraplegia post-car accident.
  • Initial X-ray and CT scans showed no thoracic osseous pathology.
  • Subsequent MRI revealed a sequestrated, extruded T12-L1 disc herniation.

Findings:

  • The herniated disc was solely attributed to ligamentous injury.
  • Surgical decompression was performed for the thoracic disc herniation.
  • The patient experienced rapid neurological recovery within weeks post-surgery.

Implications:

  • Thoracic disc herniations require high clinical suspicion, especially after trauma.
  • MRI is crucial for diagnosing these injuries when CT is inconclusive.
  • Timely surgical intervention is key for favorable neurological outcomes in traumatic thoracic disc herniation.