C7-T1 DISC HERNIATION TREATED BY POSTERIOR APPROACH: CASE REPORT

Özet

C7-T1 disc herniation is a rare condition that constitutes only 4-8% of all cervical disc herniations. Cases have been treated by anterior and posterior approaches. For the anterior approach, there are many limitations and potential complications. The operation area is close to important visceral structures. So, inadvertent traction and/or dissection can lead to several complications, including oesophageal perforations, vertebral artery injury, pneumothorax and laryngeal/tracheal injuries. The cervicothoracic junction is limited by the manubrium and clavicle bone. A manubriotomy or sternotomy may be required to widen the operation area. This procedure causes patients intense pain despite continuous medications, including narcotics. A posterior approach to C7-T1 disc herniations can be performed with a low rate of complications in appropriate cases