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Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation
Published on: April 7, 2023
[Cervical disc herniation--diagnosis and treatment]
Insights
Cervical disc herniation (CDH) often resolves with conservative treatment. Surgery is recommended for persistent radiculopathy or symptomatic cervical myelopathy.
Area of Science:
- Neurology
- Neurosurgery
- Orthopedics
Context:
- Cervical disc herniation (CDH) is a common condition encountered in primary care.
- CDH can lead to nerve root compression (radiculopathy) or spinal cord compression (myelopathy).
Purpose:
- To outline the diagnostic and treatment considerations for cervical disc herniation.
- To differentiate between conservative and surgical management strategies based on clinical presentation.
Summary:
- Most cervical disc herniations (CDHs) are managed conservatively.
- Surgical intervention is indicated for radiculopathy with specific clinical-radiological correlations, sudden or progressive neurological deficits, intractable pain despite conservative care, or symptomatic cervical myelopathy.
Impact:
- Provides clear guidelines for managing cervical disc herniations.
- Aids clinicians in determining appropriate treatment pathways, optimizing patient outcomes.
- Highlights the importance of accurate diagnosis for effective therapeutic decision-making.
Abstract:
A cervical disc herniation (CDH) is a frequently encountered pathology in primary care medicine. It may give rise to a compression of a nerve root (a radiculopathy, with or without sensory-motor deficit) or of the spinal cord (myelopathy). The majority of CDHs can be supported by means of a conservative treatment. When a radiculopathy is found and a clinico-radiological correlation is present, a moderate neurological deficit appears suddenly, or if it is progressive under conservative treatment or if pain is poorly controlled by well-conducted conservative treatment performed during 6 to 8 months, surgery is then recommended. A symptomatic cervical myelopathy is, by itself, an indication for a surgical treatment.