● comprise only 0.25% of disc herniations, and < 4% of operations for herniated disc
● usually occur at or below T8 (the more mobile portion of the thoracic spine)
● frequently calcified ∴ get CT through the disc (may affect the choice of surgical approach)
● primary indications for surgery: refractory pain, progressive myelopathy
● surgical treatment: laminectomy is usually not appropriate for midline or calcified discs
see Thoracic hard disc herniation or Calcified thoracic disc herniation or Sclerosing thoracic disc herniation
The sequelae of Scheuermann’s disease probably contribute to the development of symptoms 1) 2) 3) 4).
Yüce İ, Kahyaoğlu O, Çavuşoğlu HA, Çavuşoğlu H, Aydın Y. Midterm outcome of thoracic disc herniations that were treated by microdiscectomy with bilateral decompression via unilateral approach. J Clin Neurosci. 2018 Dec;58:94-99. doi: 10.1016/j.jocn.2018.09.033. Epub 2018 Oct 9. PubMed PMID: 30314918.