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Clinical Reasoning: Partial Horner syndrome and upper right limb your express consent. (d) Chest X-ray shows that T1T2 disc is a few mm above the manubrium. (a) T2-weighted sagittal magnetic resonance imaging shows a T1T2 extruded disc migrated up. Given the neurologic findings on examination, a cervical and thoracic MRI was obtained which revealed T1-T2 left paracentral disk extrusion with mild superior migration and left intraforaminal extension causing moderate left lateral recess stenosis and abutment of the left T1 nerve root (Figure 2). We focused on the clinical presentation, e.g. He completed that match and 1 additional match that day with mild symptoms. So that we can give the proper space to the disc and it can breathe normally and can remain its space. See this image and copyright information in PMC. i have a t1-2 herniated disc pinching a nerve, possible thoracic outlet. Required fields are marked *. Your back has many interconnected bones, nerves, muscles, ligaments and tendons that protect your spinal cord. Smoking wrecks your discs along with everything else, weakening and drying them out (in case you needed another reason to quit). She underwent T1-T2 anterior discectomy and fusion. Anterior surgery can be achieved without sternotomy. Yale J Biol Med. Both of these signs were absent in our patients. Posterior approaches may utilize transfacet pedicle-sparing techniques, while the less frequent central/anterolateral discs may warrant anterior surgery. Bulge is a term for an image and can be a normal variant . Ayurvedic treatment of T1-T2 slip disc problem also requires the same approach based Panchakarma therapies what we do in other disc problems. Posted by mlerin @mlerin, Nov 4, 2019. The same decay can be age related too. J Neurosurg. 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). Hann EC. Methods: The visual analogue scale (VAS), Oswestry disability index (ODI), and MacNab scale were used to analyze the results collected during the . Cervical Herniated Disc Signs and Symptoms | Spine-health For the former patient, cervicothoracic MRI showed a left centro-laterally disc at the T1T2 level. If youre between the ages of 30 and 50, youre more likely to be affected. eCollection 2022. Available from: http://surgicalneurologyint.com/surgicalint-articles/9301/. Epub 2017 Apr 6. There is no medicine or procedure to reverse the process of ageing. 8600 Rockville Pike 12. Symptoms such as these are primarily determined by the location of the cervical herniated disc. Herniated Discs: When Is Surgery Necessary?. Ayurvedic treatment of T1-T2 slip disc problem due to process of ageing is all about slowing down the process of ageing and in deletion of the marks of age. (a) T2-weighted sagittal magnetic resonance imaging (MRI) shows T1T2 disc herniation. A Rare Case of T1-2 Thoracic Disc Herniation Mimicking Cervical PMC (e) Intraoperative clearance of the disc space from both hard disc and osteophytes. Transthoracic excision and fusion, case report with 4-year follow-up. There are many different condition with T1-T2 disc and these are as follows-. Avoid lifting, twisting, or straining the back. The tough outer layer (annulus fibrosus) loses elasticity with age, increasing the risk of tears that can result in herniation. Symptoms such as these are primarily determined by the location of the cervical herniated disc. Bookshelf Thoracic discectomy by posterior pedicle-sparing, transfacet approach with real-time intraoperative ultrasonography: Clinical article. The preganglionic fibers then exit the spinal cord and enter the cervical sympathetic chain. (a) T2-weighted sagittal magnetic resonance imaging (MRI) of the second case showing a hard disc at T1T2 level. (a) T2-weighted sagittal image demonstrating a disc herniation at T1T2 level with considerable cord compression. Posterior approaches may utilize transfacet pedicle-sparing techniques, while the less frequent central/anterolateral discs may warrant anterior surgery. When there is a change in the consistency of the jelly of disc, this falls under condition of slip disc or disc protrusion. MeSH With cervical disc herniations, the nerve affected by the condition is the one that exits at that specific level of the spine. Case Description: A 56-year-old man presented with the left C8 T1 radiculopathy, left hand grip weakness, and ipsilateral Horner's syndrome.Magnetic resonance imaging of the spine showed a contrast-enhancing lesion in the left T1 . Federal government websites often end in .gov or .mil. Thoracic Disc Herniation - What You Need to Know - Drugs.com and transmitted securely. Withawin Kesornsak, Kanthika Wasinpongwanich & Verapan Kuansongtham, Teresa Plancha da Silva, Marta Amaral Silva, Ftima Carvalho, Guillermo Alejandro Ricciardi, Ignacio Gabriel Garfinkel, Daniel Oscar Ricciardi, Kalyan Kumar Varma Kalidindi, Mayank Gupta & Harvinder Singh Chhabra, Lance L. Goetz, Sean McAvoy & Kate Zakrzewski, Kevin Hines, Karim Hafazalla, Jack Jallo. Accessibility Two females aged 67 and 48 years presented with acute cord infarction and paraparesis, respectively; the modified Japanese Orthopaedic Association (JOA) score for thoracic myelopathy (maximum 11) was 6 and the second patient was 7 [ Table 1 ]. Also, if the branch of the thoracic nerve going toward the back becomes inflamed, pain and other symptoms could be felt in the back at or near the location of the inflammation. Follow-up magnetic resonance studies documented full resolution for the patient with . 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. J Bone Joint Surg Am 1983;65:992-997. Some research has shown that herniated discs run in families, suggesting that your genes can make it more likely that you will develop a herniated thoracic disc. 2012. This distinction is made by David F. Fardon, MD, and Pierre C. Milette, MD in their Combined Task Forces of the North American Spine Society. This is a rarest condition in case of all thoracic discs, but can appear in this reason due to trauma. 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. -, Bransford R, Zhang F, Bellabarba C, Konodi M, Chapman JR. (a) T2-weighted sagittal magnetic resonance imaging shows a T1T2 extruded disc migrated up. Gille O, Razafimahandry HJ, Sderlund C, Gangnet N, Vital JM. Neurosurgery. Background: 1952. Copyright Surgical Neurology International. 1993. 2014: 34. Some common signs and symptoms of a cervical herniated disc include: Neck pain. These symptoms typically follow a pattern as noted above, based on the affected nerve roots location and functions. 1986. Experience with ruptured T1-T2 discs. Pain can radiate in the upper 2nd and 3rd ribs , just below the shoulder joint. (b) Axial view shows the posterolaterally located disc is on the left side. So there is no difference in T1-T2 and D1-D2 discs. Bransford R, Zhang F, Bellabarba C, Konodi M, Chapman JR. J Neurosurg Spine. This sympathetic pathway begins in the hypothalamus and synapses in the intermediolateral gray substance of the spinal cord at C8-T2 levels making it susceptible to disruption via a high thoracic intervertebral disk herniation. Upper back pain is usually attributed to minor injuries, such as muscle strain, sprain, poor posture, improper lifting, or twisting, but not often a herniated disc. On which side the compression is more symptoms will be according to that. Horner syndrome with associated T1 weakness and paresthesias is representative of many etiologies (Table 2). Symptoms Thoracic disc degeneration can be a cause of upper or mid back pain. Postfixed brachial plexus radiculopathy due to thoracic disc herniation There are several treatment options for thoracic herniated discs. J Neurosurg 1950;7:62-69. According to Christopher Good, MD, FACS President of Virginia Spine Institute, often the most optimal treatment is to allow the body to heal naturally with time. 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. Symptoms of thoracolumbar junction disc herniation. It can range from a mild pain that feels tender when touched to a sharp or burning pain. The symptoms of T1-T2 slip disc depends on the severity of the problem. 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. Surg Neurol. Under his, Cost effective alternative for spinal surgery. High thoracic disc herniation. The most commonly affected levels are C5-C6, C6-C7, and C4-C5. (d) Three-dimensional cervical computed tomography (CT) scan shows T1T2 and T3 screw rod fixation on the left side. 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). Mulier S, Debois V. Thoracic disc herniations:Transthoracic, lateral, or posterolateral approach?A review. Kanno H, Aizawa T, Tanaka Y, et al. Anterior approaches are useful, but more involved. Keachie K, Shahlaie K, Muizelaar JP. Anterior approach to the cervicothoracic junction by unilateral or bilateral manubriotomy. Clin Neurol Neurosurg. Ruptured thoracic discs. The fibers ascend and synapse at the superior cervical ganglia at the level of the bifurcation of the common carotid artery (C3-C4). The pain may be centered over the injured disc but may spread to one or both sides of the mid-back. In the form the patient has given her consent for her images and other clinical information to be reported in the journal. (b) The disc space is a little bit above the manubrium line and cervicothoracic (CT) angle is 27. -, Alberico AM, Sahni KS, Hall JA, Jr, Young HF. Cervical radiographs are not usually clinically useful because of the difficulty in visualizing through the shoulders. 1978. The rib cage adds extra protection, support, and stabilization to the spine, making it less susceptible to damage in general and disc trouble in particular. All the discs in the spine, have an inner soft part with harder shell outside. 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. Global Spine J. The main concept ofAyurvedic treatment of T1-T2 slip disc problem is based on the cause of the problem. Kanno H, Aizawa T, Tanaka Y, Hoshikawa T, Ozawa H, Itoi E. T1 radiculopathy caused by intervertebral disc herniation:Symptomatic and neurological features. The symptoms of T1-T2 slip disc are-. 2010. This site needs JavaScript to work properly. 19: 449-51, 3. Generally speaking, most neurosurgeons will advise against surgery if you are not experiencing pain or symptoms. (b) Axial view shows the posterolaterally located disc is on the left side. The 12 thoracic vertebrae (T1 just below the neck down to T12 just above the lumbar spine) make up the largest and least flexible area of the spine. T1-T2 disc herniation: Report of four cases and review of the Results: The patient's symptoms resolved completely. Patients with cervical radiculopathy symptoms and physical examination findings consistent with Horner syndrome should be evaluated with a MRI that includes the upper thoracic spine. 88: 623-33, 35. (f) Postoperative T1-weighted MRI, at 3-year follow-up, note clearance of the cord. Case description: Unable to load your collection due to an error, Unable to load your delegates due to an error. J Neurosurg. 6: s-0036, 29. They can help rule out other conditions and give you a referral to a specialist. 1971. 1998. Again, the specific symptoms of a cervical herniated disc will depend on the affected pinched nerves. Spine (Phila Pa 1976) 1991;16(10 suppl):S542-S547. This fact is most likely explained by the restricted mobility and facet orientation of the thoracic spine. J Neurosurg Spine. High thoracic disc herniation. 2013 Sep-Oct;48(5):710-5. doi: 10.4085/1062-6050-48.5.03. MRI best documents soft T1T2 thoracic discs, while computed tomography is typically optimal for calcified herniations. These disc problems in thoracic region remains silent in most of the case. In this article, we reviewed these 32 prior cases of T1T2 disc herniations and added our four cases. The majority of herniated thoracic discs are diagnosed and treated before they progress to even partial paralysis. Experiencing pain in your thoracic region could be due to many conditions that can affect these tissues, including: More common causes of thoracic spine pain that directly involve your spinal column include: Conditions that specifically affect your vertebrae, spinal cord and/or nerve roots in your thoracic spine, include: Other conditions that can affect any region of your spine, including your thoracic region, include: You may have had a medical exam that revealed an underlying health problem. 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. Among these diseases To set the slipped disc to normal is one. Herniated Disc Symptoms & More - FREE MRI Review Epub 2021 Nov 26. Nakahara S, Sato T. First thoracic disc herniation with myelopathy. For example, you may feel pain in your neck, arms, hands, fingers, or parts of the shoulder. Cases 3 and 4, respectively exhibited, a Brown-Sequard syndrome and radiculopathy alone. Thoracic disc herniation:Operative approaches and results. . [ 3 , 6 , 19 , 28 , 30 , 34 ] T1T2 discs account for only approximately 13% of all thoracic discs. [T1-T2 disc herniation: two cases] - PubMed So when we provideAyurvedic treatment of T1-T2 slip disc we are careful about providing a proper solution. 1995. (d) Axial T2-weighted axial view also confirms disappearance of the disc. Also Check: Symptoms Of Heartworm In Dogs. They occur when a vertebra in your spine collapses, which can lead to severe pain, deformity and loss of height. Logue V. Thoracic intervertebral disc prolapse with spinal cord compression. If the disc is severely degenerated, bone spurs can form and limit the mobility of the thoracic spine. Herniated thoracic disc at T1-2 level associated with horner's syndrome. Sometimes, there may be difficulty in breathing if the first rib or rib muscles are injured. PMC doi: 10.1136/bcr-2014-204820. J Neurosurg Spine. Non-Contained Discs: The inner gel-like material has broken through the outer wall of the intervertebral disc. If the herniation compresses a thoracic spinal nerve, it can cause radiculopathypain that radiates down the nerve and away from the spinewith pain, numbness, and tingling. 1980. 2016. Recommended Reading: Heart Disease Symptoms In Dogs. Horner syndrome or oculosympathetic paresis is evident because of interruption of sympathetic nerve supply to the eye, which consists of a 3-neuron pathway. 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. Please enable it to take advantage of the complete set of features! Horner syndrome or oculosympathetic paresis is caused by interruption of the sympathetic nerve supply to the face and eye that manifests as facial anhidrosis, blepharoptosis, and miosis. eCollection 2021. 2013. J Orthop Sci 2009;14:103-106. Unauthorized use of these marks is strictly prohibited. (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. (i) Postoperative T2-weighted MRI demonstrates the cage in T1T2 interspace. 88: 148-50, 22. Weakness with finger abduction results from C8 radiculopathy and/or peripheral ulnar nerve entrapment. The incidence of a herniated disc may disrupt activities of daily living and sleep. Disc Herniation - Statpearls - NCBI Bookshelf. National Library of Medicine, January 18, 2022. SignificanceofVertebral EndplateFailurein The Author(s) 2017 JAAOS Global Research & Reviews2(11):e016, November 2018. Thoracic Radiculopathy - Physiopedia Stillerman CB, Chen TC, Couldwell WT, Zhang W, Weiss MH. Eur Spine J. (e) Axial CT scan shows a pedicle screw in an upper thoracic vertebra. Correspondence to Dr. Luczak: [emailprotected]. Dydyk, Alexander M, Ruben Ngnitewe Massa, and Fassil B Mesfin. The patient was then discharged from the emergency center with oral methylprednisolone and follow-up with an orthopaedic spine surgeon. This is the T1 nerve root which originates from the T1-T2 region. 2003;30:1524. Love JG, Schorn VG: Thoracic-disk protrusions. The surgically treated patients all markedly recovered over an average of 3.87 years follow-up (range: 6 months7 years). The levels affected are often T11 and T12, with 75% occurring below T8comparatively closer to the more flexible lumbar spine. Epub 2014 Jul 18. 2022 Jan;212:107062. doi: 10.1016/j.clineuro.2021.107062. Pain is often described as sharp or burning. While the anterior approach tends to be a more familiar approach to most spine surgeons, certain anatomic restrictions may limit its use for T1-T2. By specifically examining these five muscles, one can differentiate between cubital tunnel syndrome, which leaves their motor strength intact, and C8-T1 radiculopathy. Introduction Surgical intervention is the treatment of choice in patients with thoracic disc herniation with refractory symptoms and progressive myelopathy. Turbo spin-echo T1 and T2-weighted sagittal and turbo spin-echo T2 axial 4 mm sections parallel to the disc spaces were taken. Would you like email updates of new search results? 11: 30-, 10. There are some simple things that you can do at home to help alleviate the pain. 2001 Nov 15;26(22):E512-8. 4: 366-7, 25. When the pressure is increasing with the time and jelly starts moving towards the periphery of the disc, it causes several symptoms according the compression on the nerve roots. Sharan AD, Przybylski GJ, Tartaglino L. Approaching the upper thoracic vertebrae without sternotomy or thoracotomy:A radiographic analysis with clinical application. 13: 240-5, 16. 34: 68-77, 7. This pain might shoot into your arm or leg when you cough, sneeze or move into certain positions. Drawing showing the anatomy of the oculosympathetic pathway. Numbness or tingling in areas of one or both legs. 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 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. J Orthop Sci. Carousel with three slides shown at a time. Follow-up magnetic resonance studies documented full resolution for the patient with radiculopathy and a posterolateral disc. If any of the thoracic nerves become inflamed, such as from a thoracic herniated disc or a narrowing of the foramen, thoracic radiculopathy can develop with symptoms of pain, tingling, numbness, and/or weakness radiating along the nerve root. J Neurosurg. When the inner core of the disc when stops getting proper nutrition, than it starts decaying further. Because this nerve root is the part of the brachial plexus. 8600 Rockville Pike Early experience treating thoracic disc herniations using a modified transfacet pedicle-sparing decompression and fusion. Herniated thoracic discs can cause paralysis. Spacey K, Zaidan A, Khazim R, Dannawi Z. Horner's syndrome secondary to intervertebral disc herniation at the level of T1-2. (g) Plain CT radiograph showing that the cage is located at bicalvicular line. 2022 Sep 9;13:412. doi: 10.25259/SNI_580_2022. [ 15 ] Patients with thoracic discs typically present with neck pain (i.e. AJR Am J Roentgenol 1980;134:184-185. With age, the soft disks that act as cushions between your spines vertebrae wear down, dry out and/or shrink. [ 1 , 2 , 4 , 5 , 7 , 8 , 11 - 15 , 17 , 18 , 25 , 26 , 29 , 32 , 33 , 35 - 37 ] T1T2 disc herniation can present with either radiculopathy or myelopathy. 6: 1-10, 2. 3. 1955. Neurosurgery. Therefore an MRI scan is important to find our the proper cause behind the problem. government site. Because in this case, a patient might get back all those symptoms of T1-T2 slip disc come back again. Thoracic spinal cord injuries are rare and only account for 10 15 percent of all spinal cord injuries. 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. 1968. Thus if there are some brachial plexus injuries on lower side there will be impact on the same nerve root and its supply too. 1, 3, 4, 5 Although uncommon, T1-T2 disk herniation should be suspected if a patient presents with Horner syndrome and upper extremity pain. 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). The rest of the postganglionic fibers travel along the internal carotid artery and enter the cavernous sinus. Excruciating pain from cervical (C7/T1) radiculopathy. FOIA Good office ergonomics, such as a supportive chair, can reduce the risk of thoracic herniated discs, which are already rare. 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. 2000. These all symptoms always confuse before the proper diagnosis of slip disc in D1-D2. A large herniated disc can compress the spinal cord within the spinal canala condition called myelopathyresulting in numbness, tingling, and or weakness in one or both lower extremities, and sometimes bowel and bladder dysfunction, and in extreme cases, paralysis. Surg Neurol. Would you like email updates of new search results? (d) Chest X-ray showing that T1T2 disc space is far enough above biclavicular line. 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 pupil dilator muscle and Mueller's muscles; small smooth muscles in the eyelid responsible for a minor portion of upper lid elevation and lower lid retraction. Lucas, Jacqueline W, Eric M Connor, and Jonaki Bose. Modified anterior approach to the cervicothoracic junction. Epub 2016 Jan 28. Neurosurgery. Caner H, Kilinoglu BF, Benli S, Altinrs N, Bavbek M. Magnetic resonance image findings and surgical considerations in T1-2 disc herniation. T1 and T2 - These lead into nerves that go into the top of your chest and into the arms and hands. 2. But they can happen. MRI provides the diagnosis. The T1-T2 interspace is not fully visualized on a cervical MRI; therefore, a thoracic MRI scan can be helpful. (d) Axial T2-weighted axial view also confirms disappearance of the disc. Weakness. After confirming the diagnosis with MRI, the patient was treated with standard posterior approach with laminoforaminotomy and diskectomy. In simple terms, a disc bulge refers to an apparent generalized extension of disc tissues beyond the edges of the edge of vertebrae, usually less than 3mm. Doctors order these vertebrae from C1 to C7, starting at the base of the skull and extending downward. After talking about your symptoms and . Even if it is not causing pain or symptoms, a giant disc herniation will usually require surgical treatment. T1-T2 disc herniation should be suspected in patients presenting cervico-brachial medial neuralgia. Five percent are found in the thoracic, 3% in the cervical, and 92% in the lumbar region. The symptoms began as dull back pain, which the patient initially attributed to a muscle strain, but progressively worsened throughout a 24-hour period. Diagnostic testing for herniated disk includes MRI, CT, myelography, and plain radiography, either alone or in different combinations, as the occasion demands. Intradural disc herniation at the T1-T2 level. | Semantic Scholar All rights reserved. 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. Background: Symptomatic T1-T2 disc herniations are rare and, in most cases, are located posterolaterally. A herniation here may cause pain at the back or chest around the first rib, or pain in the ring and/or pinky fingers. Takagi H, Kawaguchi Y, Kanamori M, Abe Y, Kimura T. T1-2 disc herniation following an en bloc cervical laminoplasty. [ 3 , 6 , 19 , 28 , 30 , 34 ] Most thoracic disc herniations occur below the T8 level, and the majority are found at T11T12. It is important to understand the symptoms, causes, and treatments for a bulging disc to prevent the condition from worsening. Most studies report improvement in pain and neurologic dysfunction, but Horner syndrome can be refractory to surgical decompression.12,18 Similarly, our patient at 6 weeks postoperative had resolution of his pain, motor, and sensory deficits but persistent Horner syndrome at nine months postoperatively. You may have pain in your lower back, numbness or pain in your leg, or loss of bladder control. 12: 221-31, 5. 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. (f) After placement of peek cage, note brachiocephalic vein at lower border of the scene. The physician explained that you have a Bulging Disc, but you may still have questions that have been unanswered. An official website of the United States government. If you have a thoracic herniated disc, you may feel these symptoms circumferentially around your rib cage or upper abdominal area. 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. 1-3 The most affected area in the thoracic region is the T11-12 level. 1960;17:41830. Overall outcomes for T1 disk herniations treated surgically are favorable. J Neurosurg. The most common symptom of a thoracic herniated disc is pain. Thoracic disc herniations make up 0.25%0.75% of all disc ruptures. 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. 1. BMJ Case Rep. 2014 Jun 5;2014:bcr2014204820.