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Herniated Discs at the Cervicothoracic Junction.

 Dal-Sung Ryu  ;  Ho-Kyu Paik  ;  Sang-Soak Ahn  ;  Kyung-Hyun Kim  ;  Dong-Kyu Chin  ;  Keun-Su Kim  ;  Yong-Eun Cho  ;  Sung-Uk Kuh 
 World Neurosurgery, Vol.118 : e651-e658, 2018 
Journal Title
 World Neurosurgery 
Issue Date
Adult ; Aged ; Cervical Vertebrae/surgery* ; Female ; Humans ; Intervertebral Disc/surgery ; Intervertebral Disc Degeneration/pathology ; Intervertebral Disc Degeneration/surgery* ; Intervertebral Disc Displacement/pathology ; Intervertebral Disc Displacement/surgery* ; Male ; Middle Aged ; Neck/surgery* ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Radiography/methods ; Thoracic Vertebrae/surgery*
C7–T1 herniation ; Cervicothoracic junction ; Intervertebral disc herniation ; Spinal fusion
BACKGROUND: Disc herniations at the cervicothoracic junction (C7-T1 level) are unusual, and there have only been a few studies of patients with herniated C7-T1 discs. In addition, previous studies did not focus on the mechanism and causes of solitary cervicothoracic junction disc herniation. The authors investigated the characteristics, symptom duration, clinical course, and biomechanics of cervicothoracic junction disc herniation by comparing patients with C7-T1 disc herniation (C7-T1 group) with control groups. METHODS: Thirty-six patients who underwent solitary C7-T1 single-level disc surgery between 2006 and 2015 were included. For radiographic comparison, patients in a herniated C5-C6 disc group and the healthy control group were cohort matched. RESULTS: In the C7-T1 group, the disc herniation mainly occurred in the foraminal space (P < 0.0001). The C7-T1 group was significantly associated with a history of trauma (P < 0.0001). In addition, the cervical vertebral body was more readily observed on plain lateral radiographs in the C7-T1 group (7.36 ± 0.068). Patients in the C5-C6 group tended to have the sternal notch more frequently located above the T2-T3 disc space than other groups (P = 0.014). CONCLUSIONS: C7-T1 disc herniation demonstrates unique characteristics. Understanding the features of disc herniation at the cervicothoracic junction would be helpful for optimal care.
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1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
구성욱(Kuh, Sung Uk) ORCID logo https://orcid.org/0000-0003-2566-3209
김경현(Kim, Kyung Hyun)
김근수(Kim, Keun Su) ORCID logo https://orcid.org/0000-0002-3384-5638
백호규(Paik, Ho Kyu)
조용은(Cho, Yong Eun) ORCID logo https://orcid.org/0000-0001-9815-2720
진동규(Chin, Dong Kyu) ORCID logo https://orcid.org/0000-0002-9835-9294
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