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Published on: January 26, 2024

Cervicothoracic junction disc herniation: Our experience, technical remarks, and outcome.

Keyvan Mostofi¹, Morad Peyravi², Babak Gharaei Moghadam³

¹Department of Neurosurgery, Centre Clinical, Chirurgie De Rachis, Soyaux, France.

Journal of Craniovertebral Junction & Spine

|June 19, 2020

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Cervicothoracic (C7-T1) disc herniation surgery outcomes were evaluated. Both anterior and posterior surgical approaches yielded positive results, with all patients experiencing symptom improvement and no significant complications.

Area of Science:

Neurosurgery
Spinal Surgery

Background:

Cervicothoracic (C7-T1) disc herniation is a rare spinal condition, accounting for 3.5-8% of all cervical disc herniations.
Surgical access to the C7-T1 junction is challenging due to the manubrium, complicating anterior approaches.

Purpose of the Study:

To present surgical experiences with C7-T1 disc herniation.
To compare anterior and posterior surgical approaches for C7-T1 disc herniation.

Main Methods:

A retrospective review of 21 patients with solitary C7-T1 disc herniation operated between January 2008 and December 2017.
12 male and 9 female patients were operated, with 8 undergoing anterior and 13 undergoing posterior approaches.
The mean symptom duration was 11.4 months.

Keywords:

Anterior cervical approach cervicothoracic spine disc herniation posterior cervical approach

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Main Results:

All patients presented with C8 cervicobrachial neuralgia, numbness, tingling, and/or weakness.
All 21 patients experienced symptom improvement following surgery.
No significant surgical complications were reported.

Conclusions:

Cervicothoracic herniated disc clinical features are similar to other cervical levels.
The anterior approach is technically more demanding, especially in obese patients with short necks.
The posterior approach is versatile, suitable for most C7-T1 disc herniations, except for purely medial herniations.