, Volume 4, Issue 6, pp 366-367

First thoracic disc herniation with myelopathy

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The case of a patient with progressive paraparesis due to first thoracic disc herniation is reported. He was treated successfully with anterior interbody fusion by the Smith-Robinson approach. An anterior approach is desirable for surgical treatment of T1/2 disc herniation, and up to this level the Smith-Robinson approach, without thoracotomy, is entirely possible.