Related Experiment Videos
Soft cervical disc herniation. An analysis of 187 cases
A Bucciero1, L Vizioli, A Cerillo
1Department of Neurosurgery, School of Medicine, University of Naples Federico II, Italy.
Journal of Neurosurgical Sciences
|April 7, 1999
Summary
Anterior microdiscectomy effectively treated cervical disc herniations, relieving radicular symptoms in 95.6% and myelopathy in 83.3% of patients. This surgical approach offers significant symptom relief for cervical disc herniations.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Orthopedics
Background:
- Cervical disc herniations can cause significant neurological deficits.
- Surgical intervention is often necessary for severe cases.
Purpose of the Study:
- To evaluate the efficacy of anterior microdiscectomy for soft cervical disc herniations.
- To assess outcomes based on presenting neurological syndrome and herniation level.
Main Methods:
- 187 patients with cervical disc herniations underwent anterior microdiscectomy between 1986 and 1994.
- Patients were categorized by syndrome (radicular, medullary, myeloradiculopathy) and herniation level.
- Magnetic Resonance Imaging (MRI) was used to assess cord signal changes in myelopathic patients.
Main Results:
- 67.9% had radicular syndrome, 9.1% medullary, and 23% myeloradiculopathy.
- Most common herniation levels were C5/6 (54%) and C6/7 (46.6%).
- 95.6% of radiculopathy and 83.3% of myelopathy patients experienced significant symptom relief.
Conclusions:
- Anterior microdiscectomy is a highly effective treatment for soft cervical disc herniations.
- The procedure provides substantial relief for both radicular and myelopathic symptoms.
- Surgical outcomes are favorable, supporting the anterior approach for this condition.