J Minim Invasive Spine Surg Tech.  2022 Apr;7(1):179-183. 10.21182/jmisst.2021.00318.

Single-stage C6-7 ACDF with T1-2 Oblique Keyhole Transcorporeal Disectomy to Treat Cervico-thoracic Tandem Disc Herniation: A Case Report

• Moon KS
• Jeong M
• Lee SH
• Baek OK

• KMID: 2562134
• DOI: http://doi.org/10.21182/jmisst.2021.00318

Abstract

Symptomatic cervico-thoracic tandem disc herniation occurs very rarely. On the other hand, cervical disc herniations are common and may be treated via a variety of surgical procedures. Symptomatic upper thoracic disc herniations are extremely rare, and use of a surgical approach in their treatment is controversial due to the narrow operative space within which surgical procedures must be performed. We report an extremely rare case of symptomatic tandem C6-7 and T1-2 disc herniation successfully treated via single-stage, single-incision, C6-7 anterior cervical decompression and fusion, and T1-2 oblique keyhole transcorporeal discectomy. This is the first symptomatic cervico-thoracic tandem disc herniation with its treatment.

Keyword

Cervico-thoracic tandem disc herniation; Keyhole transcorporeal approach; Upper thoracic disc herniations