Orthopedic Certified Specialist (OCS) Practice Exam 2026 – Comprehensive All-in-One Study Guide for Exam Success!

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What age range represents the peak incidence of thoracic disc herniations?

0-20 years

20-30 years

30-50 years

The peak incidence of thoracic disc herniations typically occurs in individuals between the ages of 30 to 50 years. This age range is significant because it often coincides with increased physical demands placed on the spine—considering factors such as the progression of occupational stress and degenerative changes that occur in spinal discs over time. During these years, individuals are generally more active, and the cumulative effects of daily activities, repetitive motions, or traumatic injuries may lead to the herniation of thoracic discs.

Additionally, the thoracic spine has unique biomechanical characteristics, and while herniations in this region are less common compared to the cervical and lumbar spine, those that do occur tend to peak during this middle adulthood phase. Disc degeneration can start to manifest earlier, but it is in this age demographic where herniation becomes more clinically relevant, thus leading to increased observable cases, symptoms, and surgical interventions.

The other age ranges do not reflect the typical peak incidence observed in clinical practice. Children and adolescents (0-20 years) generally have more resilient spinal structures, while those over 50 years tend to experience more age-related degeneration in the spine, which could lead to conditions that are not as specific or symptomatic as disc herniations

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50-70 years

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