Unexpected Combined Double Posterior and Anterior Approach to Treat Thoracic Disc Herniation: a Case Report

Introduction: Although frequently observed in magnetic resonance images, symptomatic thoracic disc herniations are rare. Surgical treatment is indicated when patients suffer from functional symptoms with no response to medical treatment, neurologic appear or worsen the event of myelopathy. Posterolateral approaches commonly accepted as for lateral and mediolateral non-calcified medial herniations. On other hand, anterior have been treat gigantic calcified Case presentation: This case report presents on a 57-year-old female patient suffering thoracolumbar pain impairment. The study showed images compatible posteromedial T12-L1 herniation that, after failure, required surgical treatment. Initially, posterior approach was performed, resulting immediate postoperative period motor sensitive deficit lower left limb, so reintervention performed using an approach, obtaining good clinical results. Conclusion: Thoracic uncommon. indication decided presence symptoms. Neurologic injury common complication due lesion’s characteristics it can also be secondary procedure. An adequate election may minimize injuries.