{"id":"7edcfe61-d8b7-4e13-b512-1314298c35d0","slug":"t1-t2-disc-herniation-report-of-four-cases-and-review-of-the-literature","title":"T1–T2 disc herniation: Report of four cases and review of the literature","authors":["Abolfazl Rahimizadeh","Amir Hossein Zohrevand","Nima Mohseni Kabir","Naser Asgari"],"abstract":"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. 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. 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.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/7edcfe61-d8b7-4e13-b512-1314298c35d0/featured/hero-1782420874947.png","publishDate":"2019-04-24T00:00:00.000Z","doi":"10.25259/SNI-34-2019","categories":["Spine","Review Article"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2019/04/9301/SNI-10-56.pdf"}