en Spine Case report <p><strong>Background and Aim:</strong> Symptomatic T1&ndash;T2 disc herniations are uncommon, most frequently occurring in a posterolateral location. Posterior approaches, including trans-facet pedicle-sparing techniques, are often used in such cases, whereas other forms require anterior or lateral methods.</p> <p><strong>Case Presentation:</strong> We present a case of symptomatic T1&ndash;T2 disc herniation in a 37-year-old patient with diminished hand strength, medial arm and shoulder pain, and paresthesias with radiculopathy due to lateral lesions. The patient underwent posterior-only laminectomy and discectomy and achieved complete recovery.</p> <p><strong>Conclusion:</strong> This case highlights a T1&ndash;T2 disc herniation with central/anterolateral lesions that necessitated a posterior-only approach, and follow-up magnetic resonance imaging confirmed full resolution in the conservatively treated radiculopathy case.</p> T1–T2 disc herniation, Thoracic disc, Upper thoracic spine 0 0 http://irjns.org/browse.php?a_code=A-10-317-7&slc_lang=en&sid=1 Ali Baradaran-Bagheri 100319475328460013228 100319475328460013228 No Department of Neurosurgery, Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran. Saman Mohazzab-Torabi smntrb@gmail.com 100319475328460013229 100319475328460013229 Yes Department of Neurosurgery, Faculty of Medicine, Alborz University of Medical Sciences, Karaj, Iran.