Rossitti S, Stephensen H, Ekholm S, von Essen C. The anterior approach to high thoracic (T1-T2) disc herniation. Compression fractures are especially common in the lower thoracic area, and they often result from osteoporosis and mild trauma. 1954. 1995. Court, C., E. Mansour, and C. Bouthors. Calcific discitis with giant thoracic disc herniations in adults. sharing sensitive information, make sure youre on a federal HHS Vulnerability Disclosure, Help (d) Three-dimensional cervical computed tomography (CT) scan shows T1T2 and T3 screw rod fixation on the left side. The rest of the postganglionic fibers travel along the internal carotid artery and enter the cavernous sinus. We added our cases (four cases) of T1T2 disc herniations to those 32 cases found in the literature. (f) After placement of peek cage, note brachiocephalic vein at lower border of the scene. 1968. A pinched nerve may cause pain in the back or chest at the first rib, or pain in the ring and/or pinky fingers. The exception to this is for a giant herniated thoracic disc, which almost always requires surgery. So just go to contact us and send all your reports so that we will be able to guide you in a better way for your problem and Ayurvedic treatment of T1-T2 slip disc problem. Thoracic disc herniations are rare conditions compared with other disc herniations seen at cervical and lumbar spine levels. (e) Intraoperative clearance of the disc space from both hard disc and osteophytes. See this image and copyright information in PMC. Surg Neurol. 8600 Rockville Pike Rahimizadeh A, Sami SH, Rahimizadeh S, Williamson WL, Amirzadeh M. Surg Neurol Int. When there is a compression on the disc, it starts decaying. 2016. The most common symptom of a thoracic herniated disc is pain. Case description: Shortly after the postganglionic fibers leave the superior cervical ganglion, vasomotor and sudomotor fibers branch off to travel along the external carotid artery to innervate the blood vessels and sweat glands of the face. Spine (Phila Pa 1976). Multiple protrusions of intervertebral disks in the upper thoracic region:Report of case. Neurology. Posted by mlerin @mlerin, Nov 4, 2019. (f) After placement of a large cage. People who have a herniated disk often have radiating numbness or tingling in the body part served by the affected nerves. Unauthorized use of these marks is strictly prohibited. This is the least common location for radiculopathy. A, Right parasagittal T1-, T2-, and STIR-weighted images that demonstrate a discrete fracture line through the pedicles of L4 bilaterally without pedicle marrow signal intensity changes (long arrow) and a less obvious fracture line on T1 images through the L5 pedicle with concomitant type 1 pedicle marrow changes (short arrows). J Neurosurg. Even if it is not causing pain or symptoms, a giant disc herniation will usually require surgical treatment. 2016. -, Bransford R, Zhang F, Bellabarba C, Konodi M, Chapman JR. Most T1T2 discs were posterolateral in location (25 cases); only 11 were purely central or centrolateral. Neurology. The fourth patient had an MR left-sided laterally located extruded disc at the T1T2 level managed nonsurgically [ Figure 4a and b ]. The same decay can be age related too. Thanks to the rigidity of the thoracic spine and the size of thoracic vertebrae, a thoracic herniated disc is a lot less likely to happen than a lumbar (lower back) or cervical (neck) herniated disc. But they can happen. These disc problems in thoracic region remains silent in most of the case. Movement the blood supply to the disc is interrupted it causes the desiccation of the disc. BMJ Case Rep. 2014 Jun 5;2014:bcr2014204820. The four cases of T1T2 discs included two females and two males who ranged in the age group from 36 to 67 years (average: 47 years). A very subtle ptosis and miosis remained. Conclusions:We reviewed 4 cervical T1T2 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. For example, you may feel pain in your neck, arms, hands, fingers, or parts of the shoulder. The oculosympathetic pathway then joins the ophthalmic division of the fifth cranial nerve (V1) and travels into the orbit through the superior orbital fissure to provide innervation to the iris dilator muscle and Mueller's muscle; a small smooth muscle in the eyelid responsible for a minor portion of upper lid elevation and lower lid retraction. Band-like pain travelling from the back to the abdomen/chest on one or both sides of the body Headaches when you sit or lie in certain positions Numbness, tingling, or a burning feeling in your legs Trouble walking or moving your legs Weakness in your arms or legs Trouble urinating or having a bowel movement (d) Axial T2-weighted axial view also confirms disappearance of the disc. If there is some deformity behind T1-T2 slip disc than we aim to restore the kyphotic changes. Careful radiographic analysis is needed preoperatively to identify the upper limit of the sternum. The symptoms often follow a dermatomal distribution, . Radiation of pain in the upper arm on the front side. On postoperative day 1, the patient reported improvement in his left-sided radiating back pains, partial return of sensation along the left medial forearm, and hand with some mild persistent paresthesias. Approximately 75% of all thoracic disc herniations are seen below T8. The thickening and buckle of the vertebrae in the lower back are referred to as Ligamentum flavum hypertrophy or infolding. The surgically treated patients all markedly recovered over an average of 3.87 years follow-up (range: 6 months7 years). J Neurosurg 1950;7:62-69. (e) Intraoperative clearance of the disc space from both hard disc and osteophytes. 2002. Keywords: When there is some problem in the T1-T2 diss, it gives similar symptoms to cervical problem. (b) The disc space is a little bit above the manubrium line and cervicothoracic (CT) angle is 27. Well tell you how, why, and what you can do to treat a thoracic herniated disc if you have one and prevent them in the future. The patient underwent successful T2-3 anterior discectomy with T2-3 rib autograft fusion. The main symptoms of lumbar disc herniation would radiate based on the location of the disc herniation . After literature review, 39 cases of T1-2 disk herniation were discovered.1 Only seven of these cases presented with an associated Horner syndrome (Table 1). . (d) Chest X-ray shows that T1T2 disc is a few mm above the manubrium. Herniated discs happen when the soft, jellylike inner layer of a shock-absorbing intervertebral disc bulges into or breaks through the discs tough outer layer. The symptoms of T1-T2 slip disc are- Pain just below the spine of the scapula. FOIA Kanno H, Aizawa T, Tanaka Y, et al. In cases where instability of the CTJ occurs or when nonsurgical treatments do not provide relief, surgery may be considered. Physical examination revealed pain in the left upper paraspinal and scapular region radiating to the left shoulder with mild improvement of the pain with abduction of the left shoulder above the head. However, the onset of paralysis in this condition is gradual. Adults, 2019. NCHS Data Brief, Number 415,July 2021, July 2021. (d) Chest X-ray shows that T1T2 disc is a few mm above the manubrium. doi: 10.1136/bcr-2014-204820. (b) Sagittal cervical fat saturated MRI shows the same. 1952. 2013 Sep-Oct;48(5):710-5. doi: 10.4085/1062-6050-48.5.03. Love JG, Kiefer EJ: Root pain and paraplegia due to protrusions of thoracic intervertebral disks. This study can distinguish calcified disk herniations, which may lead to modified treatment strategies and surgical approach.3 The T1 nerve root supplies the ulnar nerve with C8 at a root level, the medial pectoral, medial brachial cutaneous, the medial antebrachial cutaneous nerves at a cord level, and the first intercostal nerve. 14: 103-6, 15. The third patient undergoing a transfacet pedicle-sparing left-sided approach had a postoperative three-dimensional computed tomography scans showing adequate root decompression and screw placement screws [Figures 3e and d ]. Generally speaking, most neurosurgeons will advise against surgery if you are not experiencing pain or symptoms. After confirming the diagnosis with MRI, the patient was treated with standard posterior approach with laminoforaminotomy and diskectomy. may email you for journal alerts and information, but is committed As we all know there are only few chances of the disc problems in dorsal spine, because this area is fixed in comparison to the cervical spine and lumbar spine. The https:// ensures that you are connecting to the Furthermore, more than 75% of thoracic protrusions are located below T8, and only approximately 3% occur at the T1-T2 level, as in our patient. 2009. government site. We report two cases of exceptional first thoracic disc herniation in a 60-year-old man and a 55-year-old woman. Carson J, Gumpert J, Jefferson A. Correspondence Address:Naser AsgariPars Advanced and Minimally Invasive Medical Manners Research Center, Iran University of Medical Sciences, Tehran, Iran, How to cite this article: Abolfazl Rahimizadeh, Amir Hossein Zohrevand, Nima Mohseni Kabir, Naser Asgari. The fibers ascend and synapse at the superior cervical ganglia at the level of the bifurcation of the common carotid artery (C3-C4). Degenerative changes of the spine is the same condition as spinal osteoarthritis, spondylosis and degenerative disk disease. Herniated Disc Symptoms in the Lumbar Spine The most common symptom associated with a herniated disc in the lumbar spine is leg pain (also known as sciatica). Upper thoracic spine arthroplasty via the anterior approach. J Neurosurg. 84-A: 1013-7, 21. There will be pain in the front side of Arm Pit. 1956. The latter two cases had posterolateral discs contributing to a Brown-Sequard syndrome and radiculopathy, respectively; one patient required a transfacet pedicle-sparing procedure, while the second case was managed conservatively. Herniated discs in the thoracic region account for less than 1 percent of all herniated discs. Bethesda, MD 20894, Web Policies First thoracic disc protrusion. Signs and Symptoms of a T1-T2 Herniated Nucleus Pulposis in the Literature (n = 21) Case A 29-year-old surgical resident presented to the emergency department complaining of acute onset left periscapular back pain, along with progressive left medial forearm and fourth and fifth digit numbness with grip weakness of the left hand. He is an M.D. Copyright Surgical Neurology International. Numbness or tingling in areas of one or both legs. 73: 598-9, 13. 2010. Smoking wrecks your discs along with everything else, weakening and drying them out (in case you needed another reason to quit). The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 1978. If the C8 nerve is compressed or irritated, additional symptoms may occur, such as: If the spinal cord is injured, the upper and/or lower limbs and the torso may be completely or partially paralyzed.2 There may also be changes in bowel and/or bladder functions. Keywords: Disc herniation, spontaneous resolution, sternal splitting approach, T1T2 disc space, thoracic disc, upper thoracic disc herniation. Mulier S, Debois V. Thoracic disc herniations:Transthoracic, lateral, or posterolateral approach?A review. For the fourth patient, the sequestrated disc disappeared 5 months later [Figures 4c and d ]. Your doctor may use the following to diagnose a thoracic herniated disc: Sometimes other tests may be ordered because herniated thoracic disc pain and symptoms can mimic heart, lung, and stomach conditions. 2013. 1998 Jan;88(1):148-50. doi: 10.3171/jns.1998.88.1.0148. Magnetic resonance imaging revealed a left-sided T1-T2 herniated disc compressing the T1 nerve root. Hagerstown, MD, Harper & Row, 1978. According to the American Association of Neurological Surgeons, about 75 - 85% of people in the U.S. suffer from back pain at some point in their lifetime. T1-T2 disc herniation:Two cases. None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Possley, Dr. Luczak, Dr. Angus, and Dr. Montgomery. Epub 2017 Apr 6. This pain might shoot into your arm or leg when you cough, sneeze or move into certain positions. With cervical disc herniations, the nerve affected by the condition is the one that exits at that specific level of the spine. 34: 68-77, 7. The site is secure. Muscle weakness in certain muscles of one or both legs. Vaidya Dr. Pardeep Sharma is Chief Ayurvedic Physician at Sukhayu Ayurved Jaipur. In a systematic review and meta-analysis by Brooks et al, disk height index, Modic changes, and sagittal range of motion were found to be significantly correlated with an increased rate of recurrent lumbar disk herniation. PMC (a) T2-weighted sagittal image demonstrating a disc herniation at T1T2 level with considerable cord compression. Background: The authors conducted a 2-year retrospective follow-up to investigate the efficiency of an extraforaminal full-endoscopic approach with foraminoplasty used to treat lateral compressive diseases of the lumbar spine in 247 patients. The most commonly affected levels are C5-C6, C6-C7, and C4-C5. Clipboard, Search History, and several other advanced features are temporarily unavailable. 1986. Kurz LT, Pursel SE, Herkowitz HN. HHS Vulnerability Disclosure, Help Its not easy figuring out how to sleep with a herniated disc. The goal of surgery is to remove all or part of the herniated disc that is compressing a nerve root. Maloney WF, Younge BR, Moyer NJ: Evaluation of the causes and accuracy of pharmacologic localization in Horner's syndrome. The authors certify that they have obtained all appropriate patient consent forms. With age, the discs soft inner layer (nucleus pulposus) becomes less hydrated, making it less gelatinous and effective as a shock absorber. 1991. Thoracic disc herniation:Operative approaches and results. (i) Postoperative T2-weighted MRI demonstrates the cage in T1T2 interspace. Kanno H, Aizawa T, Tanaka Y, Hoshikawa T, Ozawa H, Itoi E. T1 radiculopathy caused by intervertebral disc herniation:Symptomatic and neurological features. Disc herniation; T1T2 disc space; spontaneous resolution; sternal splitting approach; thoracic disc; upper thoracic disc herniation. 1. Anterior surgery can be achieved without sternotomy. She also works as an Adult and Pediatric Sexual Assault Nurse Examiner. The .gov means its official. (b) Axial view shows the posterolaterally located disc is on the left side. The number one prevention is not smoking. You will not be suddenly and completely paralyzed by a herniated thoracic disc. Thoracic back pain may be exacerbated when coughing or sneezing. Lloyd TV, Johnson JC, Paul DJ, Hunt W. Horner's syndrome secondary to herniated disc at T1--T2. If youre between the ages of 30 and 50, youre more likely to be affected. Thoracic herniated discs are less common than herniated discs in the neck or low back, but they do happen. This may be evident by sensory disturbances below the level of compression, difficulty with balance and walking, lower extremity weakness, or bowel or bladder dysfunction. So when we provideAyurvedic treatment of T1-T2 slip disc we are careful about providing a proper solution. C8 and T1 nerve roots compound both ulnar and median nerves.3 Therefore C8 and T1 radiculopathies . Wolters Kluwer Health High thoracic disc herniation. You May Like: Symptoms Of Hpa Axis Dysfunction. (f) Postoperative T1-weighted MRI, at 3-year follow-up, note clearance of the cord. Outcomes were based on the modified JOA scores for the three patients with thoracic myelopathy and their scores were 10, 11, and 11, respectively, while the visual analog scale for the fourth patient was 0. Pain can radiate in the upper 2nd and 3rd ribs , just below the shoulder joint. A spine specialist determines if surgery is the best option. There is no charge to read or download any SNI content, but registering for a free membership will provide you with additional special features. This was excised utilizing a transfacet pedicle-sparing left-sided approach with left-sided T1T3 pedicle screw fixation to avoid instability [ Figure 3 ]. (d) Axial T2-weighted axial view also confirms disappearance of the disc. J Neurosurg. Remember, the cervical spine is composed of 7 bones stacked one on top of each other. Before Horner syndrome with associated T1 weakness and paresthesias is representative of many etiologies (Table 2). by the American Academy of Orthopaedic Surgeons. J Bone Joint Surg Am 1983;65:992-997. Save my name, email, and website in this browser for the next time I comment. -, Arseni C, Nash F. Thoracic intervertebral disc protrusion:A clinical study. Drawing showing the anatomy of the oculosympathetic pathway. Rahimizadeh A. Thoracic disc herniation:20 years experience in 82 cases. Thoracic Herniated Disc Symptoms. Christopher Good, MD, FACS President of Virginia Spine Institute, https://www.barrowneuro.org/condition/thoracic-disc-herniation/, https://doi.org/10.1016/j.otsr.2017.04.022, https://www.ncbi.nlm.nih.gov/books/NBK441822/, https://www.choosept.com/guide/physical-therapy-guide-herniated-disk, https://www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Low-Back-Pain, https://www.cdc.gov/nchs/data/databriefs/db415-H.pdf, https://doi.org/10.1302/2058-5241.6.210020, Upper Back Pain Causes, Risk Factors, Diagnosis and Treatment, Spondylosis Symptoms, Causes, Diagnosis and Treatment, 7 Lower Back Pain Causes That Affect Women, Muscle Relaxants for Back Pain and Neck Pain, Herniated Disc: Symptoms, Causes, Diagnosis, and Treatment. This process of desiccation starts due to the pressure on the spinal arteries. Medications, traction, dry needling, and epidural spinal injections can be used with physical therapy to help manage pain and allow the body to heal on its own, says Dr. Good. Arseni C, Nash F. Thoracic intervertebral disc protrusion:A clinical study. 35: 329-31, 11. Would you like email updates of new search results? Bransford R, Zhang F, Bellabarba C, Konodi M, Chapman JR. Study design: A retrospective clinical review of patients with thoracolumbar junction disc herniation. Our patient had resolution of his back pain, paresthesias, and grip weakness at 6 weeks postoperatively, but his Horner syndrome persisted at latest follow-up. Asian Spine J 2012;6:199-202. When there is a change in the consistency of the jelly of disc, this falls under condition of slip disc or disc protrusion. Winter RB, Siebert R. Herniated thoracic disc at T1-T2 with paraparesis. To report a rare thoracic intervertebral disc herniation followed by acutely progressing paraplegia. Sitting in chairs with a firm back to support the spine will help alleviate back pain. Symptoms of a herniated thoracic disc may include: A vertebral, rib, and/or disc injury at the C7-T1 level may cause moderate to severe neck pain and/or upper back pain. In this article, we reviewed these 32 prior cases of T1T2 disc herniations and added our four cases. The site is secure. Under his, Cost effective alternative for spinal surgery. Conservative treatments are appropriate for T1T2 discs resulting in just mild radiculopathy (e.g. Some common signs and symptoms of a cervical herniated disc include: Neck pain. 4. Results: The patient's symptoms resolved completely. There are several treatment options for thoracic herniated discs. Following adjustment for the localisation, shots were taken with the patient positioned supine, with a routine protocol for the lumbar spine with the measurement level between L3-S1 at the center of the disc (Fig. Anterior approaches are useful, but more involved. Early experience treating thoracic disc herniations using a modified transfacet pedicle-sparing decompression and fusion. (g) Plain CT radiograph showing that the cage is located at bicalvicular line. Although posterior approach surgery is most commonly used for laminectomy and/or foraminotomy, successful anterior approaches to upper thoracic lesions are valid as well. A cervical herniated disc may cause a number of symptoms in different parts of the body. Kumar R, Buckley TF. The thoracic spine is surrounded by the rib cage and it is much harder to damage the spinal cord in this area. Disc Herniation - Statpearls - NCBI Bookshelf. National Library of Medicine, January 18, 2022. T1-T2 Herniation: The T1 spinal nerve is responsible for the ring and pinky fingers and the area around the first rib. Had a cervical epidural injection last Thursday and so far no relief. Disc herniation can occur in the cervical, thoracic, or lumbar spine. T1-T2 disc herniation should be suspected in patients presenting cervico-brachial medial neuralgia. The arc begins in the hypothalamus and synapses in the intermediolateral gray substance at C8-T2 levels (ciliospinal center of budge). T1T2 myelopathy and/or radiculopathy, magnetic resonance (MR) localization (anterior/anterolateral/lateral posterior), and optimal surgical management. Anterior approach to the cervicothoracic junction by unilateral or bilateral manubriotomy. Gelch MM: Herniated thoracic disc at T1-2 level associated with Horner's syndrome: Case report. An accurate diagnosis and timely surgical intervention may provide the patient the best chance for regression of symptoms and a satisfactory outcome. If the lower thoracic region is involved, a patient may encounter pain . Approximately 90% of herniated discs occur at L4-L5 and L5-S1, causing pain in the L5 or S1 nerve that radiates down the sciatic nerve. If youve been having intolerable pain that fails to respond to conservative treatments and or causes neurological deficits. Thoracic Disc Herniation: Surgical Treatment.. This is a rarest condition in case of all thoracic discs, but can appear in this reason due to trauma. One of the main differences between thoracic vertebrae and vertebrae in other levels of the spine is that each thoracic vertebra has joints that connect it to the rib bone on each side of the spine. (c) Reconstructed sagittal computed tomography (CT) scan of the CT region showing T1T2 hard disc, indicating that the compression, also note that CT angle is 10. Historically, symptomatic thoracic disk herniation occurred with a frequency of 2 to 3/1,000 cases of disk herniation.2 This is likely even less frequent with the advent of MRI use in diagnosis. Nowadays, endoscopic techniques have become increasingly popular and full-endoscopic surgery can be performed in the thoracic spine . Degenerative disease and trauma are the most common causes of herniated discs in the thoracic spine. (b) Axial view showing the central location of the disc. After talking about your symptoms and . A spine surgeon or spinal neurosurgeon can assess your herniated thoracic disc and help you decide if it would be best to have surgery or to try conservative treatment. Spine (Phila Pa 1976). The thoracic region, which has more vertebrae than any other part of the spine, is the least-mobile region of the spine and therefore the least susceptible to disc herniation. Glaser J. Neuro-Ophthalmology, ed 1. J Orthop Sci 2009;14:103-106. Two of the most common causes of thoracic radiculopathy are from compression caused by a herniated disc or from a narrowing of the spinal foramen, an opening through which these nerves pass. She underwent T1-T2 anterior discectomy and fusion. Patterson RH. National Library of Medicine Lloyd TV, Johnson JC, Paul DJ, Hunt W: Horner's syndrome secondary to herniated disc at T1-T2. (a) T2-weighted sagittal magnetic resonance imaging shows a T1T2 extruded disc migrated up. Symptoms such as these are primarily determined by the location of the cervical herniated disc. It is important to understand the symptoms, causes, and treatments for a bulging disc to prevent the condition from worsening. 2021 Mar 17;12:108. doi: 10.25259/SNI_941_2020. The preganglionic fibers then exit the spinal cord and enter the cervical sympathetic chain. J Neurol Neurosurg Psychiatry. A disc herniation is a significant cause or contributor of neck pain. . Lumbar diskectomy is a common procedure for the management of lumbar radiculopathy, but recurrent lumbar disk herniation is one of the most common complications of the procedure, sometimes necessitating repeat surgery. 9. 2017. J Indiana State Med Assoc. Bransford R, Zhang F, Bellabarba C, Konodi M, Chapman JR. J Neurosurg Spine. Disc herniation at T1-2. With this technique, there is no retraction of the neural elements, no sacrifice of the nerve roots, and the pedicles are spared.15 When considering anterior surgery, identify the level of the clavicles, sternum, and breast tissue in relation to the upper thoracic levels for adequate preoperative planning. Horner's syndrome secondary to intervertebral disc herniation at the level of T1-2. Weakness with finger abduction results from C8 radiculopathy and/or peripheral ulnar nerve entrapment. Successful Smith-Robinson approaches to T1-T2 have been achieved, whereas partial sternotomy has been used in others.9,14 Thoracic disk herniations can be approached posteriorly when little to no retraction of the spinal cord is necessary for disk access. Both of these signs were absent in our patients. Vaidya Dr. Pardeep does it according to the scientific principles of Ayurveda. Eur Spine J. 8. Takagi H, Kawaguchi Y, Kanamori M, Abe Y, Kimura T. T1-2 disc herniation following an en bloc cervical laminoplasty. 49: 599-606, 23. Abbott KH, Retter RH. 24-Apr-2019;10:56, How to cite this URL: Abolfazl Rahimizadeh, Amir Hossein Zohrevand, Nima Mohseni Kabir, Naser Asgari. 2001. J Athl Train. eCollection 2022. Due to the location of the thoracic spine, a herniated disc can cause pain to the mid-back, unilateral or bilateral chest wall, or abdominal areas around the affected vertebrae. Among these diseases To set the slipped disc to normal is one. 1971. Keachie K, Shahlaie K, Muizelaar JP. Objectives: To evaluate the clinical features of thoracolumbar junction disc herniation and to prepare a chart for the level diagnosis in the neurologic findings and symptoms. Preganglionic sympathetic neurons exit the spinal cord and ascend up the carotid sheath to the superior cervical ganglion at the level of the bifurcation of the common carotid artery. Please enable it to take advantage of the complete set of features! Svien HJ, Karavitis AL: Multiple protrusions of intervertebral disks in the upper thoracic region: Report of case. If the disc herniates into the spinal cord area, the thoracic herniated disk may also present with myelopathy . A magnetic resonance imaging scan revealed a large focal paracentral herniated disc at the T2-3 level. This the next process of degenerative disc disease is- disc bulge. Introduction. Hamlyn PJ, Zeital T, King TT. Excruciating pain from cervical (C7/T1) radiculopathy. to maintaining your privacy and will not share your personal information without (f) After placement of a large cage. Differentiating motor function from the C8-T1 nerve roots and ulnar nerve pathology can be assessed with motor testing. Dydyk, Alexander M, Ruben Ngnitewe Massa, and Fassil B Mesfin. 6. T1-T2 slip disc or disc protrusion is a common word for all these conditions. At 9 months postoperatively, the patient continued to be pain free with full strength and intact sensation. Spacey K, Zaidan A, Khazim R, Dannawi Z. Horner's syndrome secondary to intervertebral disc herniation at the level of T1-2. Pain is often described as sharp or burning. It can also occur with ligamentous laxity in response to loading. (a) T2-weighted sagittal magnetic resonance imaging (MRI) shows T1T2 disc herniation. Federal government websites often end in .gov or .mil. Thoracic spinal cord injuries are rare and only account for 10 15 percent of all spinal cord injuries. government site. Thoracic Disc Herniation Symptoms Watch: Thoracic Herniated Disc Video Radiating pain may be perceived to be in the chest or belly, and this leads to a quite different diagnosis that will need to include an assessment of heart, lung, kidney and gastrointestinal disorders as well as other non-spine musculoskeletal causes. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. [ 15 ] Patients with thoracic discs typically present with neck pain (i.e. On examination, she had lower extremity hyperreflexia, an abnormal gait, and lower lumbar pain but lacked any radicular findings.
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