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[Cervical disc herniation]
K J Schnake1, C-H Hoffmann, F Kandziora
1Zentrum für Wirbelsäulenchirurgie und Neurotraumatologie der BG Unfallklinik Frankfurt am Main, 60389 Frankfurt am Main. ws@bgu-frankfurt.de
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|January 9, 2013
Summary
Cervical disc herniation involves disc material pressing on the spinal canal, causing pain or neurological issues. Both surgical and conservative treatments offer good outcomes for patients.
Area of Science:
- Neurosurgery
- Orthopedics
- Spinal Medicine
Context:
- Cervical disc herniation occurs when the nucleus pulposus prolapses through the annulus fibrosus into the spinal canal.
- This can cause mechanical or chemical irritation of neural structures, leading to radiculopathy, cervicocephalgia, or myelopathy.
Purpose:
- To outline the treatment strategies for cervical disc herniation.
- To discuss surgical and conservative management options and their outcomes.
Summary:
- Surgical intervention is indicated for pronounced sensorimotor deficits or intractable pain.
- Conservative treatment includes pain medication, physiotherapy, and local injections.
- Anterior cervical discectomy and interbody fusion (ACDF) with cages is a primary surgical approach, with total disc replacement as a viable alternative.
- Other surgical techniques can be used in selected cases.
Impact:
- Both surgical and conservative treatments yield good clinical and radiological results for cervical disc herniation.
- This provides a comprehensive overview for clinicians managing patients with this condition.
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