What treatment is recommended for an asymptomatic thoracic disc herniation noted on thoracic MRI

Asymptomatic disc herniations require no treatment. The natural history of asymptomatic disc herniations is not fully defined.

Figure 47-1. Preoperative imaging demonstrating a right paracentral disc herniation at the T11-T12 level. A, T2-weighted sagittal view of magnetic resonance imaging (MRI). B, T2-weighted axial view of MRI. C, Computed tomography myelogram. (From Sasai K, Adachi T, Togano K, et al. Two level disc herniation in the cervical and thoracic spine presenting with spastic paresis in the lower extremities without clinical symptoms or signs in the upper extremities. Spine J 2006;6:464-7.)

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