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Disc herniation of cervical spine
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 1, 1980
Summary
Soft disc herniation in the cervical spine, though rare, can cause significant root pain. Diagnosis relies on specific tests like discography, and treatment may involve surgery or conservative methods.
Area of Science:
- Neurosurgery
- Radiology
Background:
- Cervical soft disc herniation (extruded or sequestered) is an uncommon spinal condition.
- Accurate diagnosis requires neurological examination, myelography, and discography.
Observation:
- Discography is crucial for reproducing patient symptoms and visualizing disc abnormalities.
- Eight cases were classified into central-paracentral and posterolateral types based on extruded material.
- All cases presented with associated root pain.
Findings:
- Discography confirmed soft disc herniation and guided classification.
- Root pain was a consistent complication across all herniation types.
- Surgical removal of herniated material was performed in half the cases.
Implications:
- Understanding the specific types of cervical soft disc herniation aids in diagnosis and treatment planning.
- Both surgical and conservative treatments can be effective for managing associated root pain.
- Further research into this rare condition can improve patient outcomes.