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# T8–T9 disc

The T8-T9 disc is the thin cushion between the T8 and T9 vertebrae in the mid-back; it allows the small movement the [ribs](https://durgical.com/en/anatomy/ribs/) permit.

Official name: T8-T9

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## What it is

The cushion between T8 and T9: a tough outer ring of fibres (annulus fibrosus) around a soft centre.

## What it does

Absorbs load and allows the small amount of movement the rib cage permits.

## Key points

- Opens the T8–T12 stretch where most thoracic herniations occur, as the lower thoracic [spine](https://durgical.com/en/anatomy/region/spine/) moves more freely than the upper part
- Classic (thoracic) Scheuermann disease peaks in this area: wedged vertebrae, irregular [endplates](https://durgical.com/en/anatomy/vertebral-endplates/) and Schmorl nodes in a teenager with a rigid round back

## Key facts

**Where**
Between T8 and T9 bodies; thin thoracic disc; head of rib 9 joins it

**Attaches**
Annulus fibrosus anchored to the endplates and ring apophyses of T8 and T9; anterior and posterior longitudinal ligaments

**Function**
Absorbs and spreads load; herniation rare (most at T8–T12), often central onto the cord; lateral herniation may irritate the T8 root

## Relations

**In front**
[Esophagus](https://durgical.com/en/anatomy/esophagus-abdominal-part/) moving left and forward, in front of the [thoracic aorta](https://durgical.com/en/anatomy/thoracic-aorta/); the [azygos vein](https://durgical.com/en/anatomy/azygos-vein/) on the right, with the hemiazygos vein crossing behind the aorta to join it at about T9

**Lateral**
Head of rib 9 and its costovertebral joint; the greater splanchnic nerve on the side of the body

## How to find it

Not palpable. It is found by counting: up from the 12th rib, or down from the inferior angle of the [scapula](https://durgical.com/en/anatomy/scapula/) (about T7); from behind it lies near the tip of the T8 spinous process.

## On imaging

Scheuermann disease on a lateral radiograph: three or more adjacent vertebrae each wedged by 5° or more (Sorensen criteria), with irregular endplates and Schmorl nodes.

## Common problems

- Thoracic disc herniations are uncommon; many are found by chance on MRI and cause no symptoms.
- A large one can press on the [spinal cord](https://durgical.com/en/anatomy/spinal-cord/), or cause band-like pain around the [chest](https://durgical.com/en/anatomy/region/chest/).

## How it is diagnosed

MRI; CT shows whether the herniation is calcified (hardened), which matters for surgery.

## Treatment

- Usually physical therapy and pain medicine; surgery only if the spinal cord is pressed.

## Clinical notes

- Pain from this level can be felt in the upper [abdomen](https://durgical.com/en/anatomy/region/abdomen/) and mimic [gallbladder](https://durgical.com/en/anatomy/gallbladder/), pancreatic or [stomach](https://durgical.com/en/anatomy/stomach/) disease
- Osteoporotic wedge fractures cluster in the mid-thoracic and thoracolumbar spine; on X-ray the disc keeps its height, which helps separate them from infection, where the disc space is destroyed

## Test yourself

Think of the answer, then tap the question to see it.

## Which stretch of the thoracic spine, starting at the T8–T9 disc, holds most thoracic disc herniations, and why?

T8–T12: the lower thoracic spine moves more freely than the upper part.

## Which radiographic criteria define Scheuermann disease, which peaks around the T8–T9 disc?

Three or more adjacent vertebrae each wedged by 5° or more (Sorensen criteria), with irregular endplates and Schmorl nodes, in a teenager with a rigid round back.

## Pain from the T8–T9 disc level can mimic disease of which organs?

Upper abdominal organs: it can be felt in the upper abdomen and mimic gallbladder, pancreatic or stomach disease.

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Educational information, not medical advice. For any symptom, see a health professional.

## Its names

**Official Latin (TA2)**
discus intervertebralis T8-T9 TA2 1684

**Official Spanish (DeCS)**
Disco T8-T9 DeCS D007403

**English (TA2)**
T8-T9

**Also called**
fibrous ring · fibrocartilago intervertebralis

## Related

- [T8–T9 nucleus](https://durgical.com/en/anatomy/t8-t9-spine-and-pelvis/)
- [T8 vertebra](https://durgical.com/en/anatomy/t8/)
- [T9 vertebra](https://durgical.com/en/anatomy/t9/)

Sources: Terminologia Anatomica (TA2); [DeCS](https://decs.bvsalud.org/es/ths/resource/?id=7567); [Anatomy, Back, Intervertebral Discs](https://www.ncbi.nlm.nih.gov/books/NBK470583/).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/anatomy/t8-t9/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/anatomy/t8-t9/
