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[Cervical sprains and cervical herniated discs (author's transl)].

R Louis

    La Nouvelle Presse Medicale
    |May 19, 1979
    PubMed
    Summary

    Cervical spine sprains range from mild to severe. Severe sprains, indicated by instability or neurovascular issues, may require surgery, particularly for prolapsed discs.

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    Area of Science:

    • Orthopedics
    • Neurology
    • Radiology

    Background:

    • The cervical spine's 20 articulations make it susceptible to sprains.
    • Sprains are classified as benign (no instability, subjective symptoms) or severe (instability or objective neurovascular complications).

    Purpose of the Study:

    • To differentiate between benign and severe cervical spine sprains.
    • To outline diagnostic and management strategies for cervical spine sprains.
    • To determine indications for surgical intervention in cervical spine injuries.

    Main Methods:

    • Dynamic radiographs for assessing bony instability.
    • Vertebral and subclavian arteriography for vascular syndromes and thoracic outlet syndrome.
    • Metrizamide myelography for evaluating neurologic lesions.
    • Discography for diagnosing prolapsed cervical discs.

    Main Results:

    • Benign sprains managed with immobilization (postural training).
    • Dynamic radiographs identify vertebral instability.
    • Vascular imaging indicated for persistent vascular syndromes or thoracic outlet syndrome.
    • Metrizamide myelography and discography aid in diagnosing disc prolapse.

    Conclusions:

    • Surgical intervention is reserved for severe cervical spine sprains.
    • Anterior surgical approach is common for prolapsed cervical discs identified via imaging.

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