Unilateral Biportal Endoscopic Discectomy for Upper Thoracic Herniated Discs (T1–2): A Case Report and Technical Notes

Author: Bang-Sang HAHN ¹ ; Choon Keun PARK ; Jin Sub HWANG ; Yong-Eun CHO ; Jae-Won JANG ; Dong-Geun LEE
Author Information

1. Department of Neurosurgery, Spine Center, The Leon Wiltse Memorial Hospital, Suwon, Korea
Publication Type:Technical Note
From: Journal of Minimally Invasive Spine Surgery and Technique 2025;10(Suppl 1):S14-S19
CountryRepublic of Korea
Language:English
Abstract: This report presents 2 cases of T1–2 disc herniation managed with unilateral biportal endoscopic (UBE) discectomy. Both patients experienced severe arm pain and neurological impairments due to paracentral disc herniations at the T1–2 level, prompting UBE discectomy. The procedures were completed without complications, leading to substantial pain relief and neurological improvement. No symptom recurrence was observed for up to 27 months postoperatively. These cases highlight that, with appropriate indications and refined techniques, UBE discectomy is a feasible and effective surgical approach for T1–2 disc herniation, offering precise visualization and a secure operative field. Further experience and research may solidify the role of this procedure in treating upper thoracic spine lesions.