We present a rare case of a patient initially presenting with unilateral abdominal wall bulging and radicular pain caused by a lateral disc herniation at Th11/12, later suffering from a hernia recurrence with bilateral disc prolapse and motor deficits. The patient underwent sequesterectomy via a right hemilaminectomy at Th11, and after 8 weeks, a bilateral sequesterectomy with semirigid fusion Th11/12 was performed. Unilateral motor deficits at the thoracic level have been discussed in case reports; a bilateral disc protrusion with abdominal wall bulging occurring as a recurrent disc herniation has never been described before.

中文翻译：

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双侧胸椎间盘突出症伴腹壁麻痹：一例报告。

我们报道了一个罕见的病例，患者最初表现为 Th11/12 侧椎间盘突出引起的单侧腹壁膨出和根性疼痛，后来出现疝复发并伴有双侧椎间盘脱垂和运动缺陷。患者在 Th11 处通过右半椎板切除术接受了死骨切除术，8 周后，进行了半刚性融合 Th11/12 的双侧死骨切除术。病例报告中讨论了胸部水平的单侧运动缺陷；以前从未描述过因复发性椎间盘突出而出现双侧椎间盘突出并伴有腹壁膨出的情况。