scholarly journals Three-level cervical disc herniation

2015 ◽  
Vol 29 (3) ◽  
pp. 309-315
Author(s):  
Andrei St. Iencean ◽  
Ion Poeata
Keyword(s):  
Cervical Spine ◽  
Disc Herniation ◽  
The Elderly ◽  
Cervical Disc Herniation ◽  
Herniated Disc ◽  
Cervical Disc ◽  
Disc Disease ◽  
Degenerative Disc ◽  
Spine Pathology ◽  
Rapid Relief

Abstract Multilevel cervical degenerative disc disease is well known in the cervical spine pathology, with radicular syndromes or cervical myelopathy. One or two level cervical herniated disc is common in adult and multilevel cervical degenerative disc herniation is common in the elderly, with spinal stenosis, and have the same cause: the gradual degeneration of the disc. We report the case of a patient with two level cervical disc herniation (C4 – C5 and C5 – C6) treated by anterior cervical microdiscectomy both levels and fusion at C5 – C6; after five years the patient returned with left C7 radiculopathy and MRI provided the image of a left C6 – C7 disc herniation, he underwent an anterior microsurgical discectomy with rapid relief of symptoms. Three-level cervical herniated disc are rare in adults, and the anterior microdiscectomy with or without fusion solve this pathology.

scholarly journals Cervical spine surgery in professional athletes: a systematic review

2016 ◽  
Vol 40 (4) ◽  
pp. E10 ◽  
Author(s):  
Andrei F. Joaquim ◽  
Wellington K. Hsu ◽  
Alpesh A. Patel
Keyword(s):  
Systematic Review ◽  
Cervical Spine ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Cervical Disc Herniation ◽  
Return To Play ◽  
Cervical Disc ◽  
Cervical Spine Surgery ◽  
Spine Pathology ◽  
High Level

Cervical surgery is one of the most common surgical spinal procedures performed around the world. The authors performed a systematic review of the literature reporting the outcomes of cervical spine surgery in high-level athletes in order to better understand the nuances of cervical spine pathology in this population. A search of the MEDLINE database using the search terms “cervical spine” AND “surgery” AND “athletes” yielded 54 abstracts. After exclusion of publications that did not meet the criteria for inclusion, a total of 8 papers reporting the outcome of cervical spine surgery in professional or elite athletes treated for symptoms secondary to cervical spine pathology (focusing in degenerative conditions) remained for analysis. Five of these involved the management of cervical disc herniation, 3 were specifically about traumatic neurapraxia. The majority of the patients included in this review were American football players. Anterior cervical discectomy and fusion (ACDF) was commonly performed in high-level athletes for the treatment of cervical disc herniation. Most of the studies suggested that return to play is safe for athletes who are asymptomatic after ACDF for cervical radiculopathy due to disc herniation. Surgical treatment may provide a higher rate of return to play for these athletes than nonsurgical treatment. Return to play after cervical spinal cord contusion may be possible in asymptomatic patients. Cervical cord signal changes on MRI may not be an absolute contraindication for return to play in neurologically intact patients, according to some authors. Cervical contusions secondary to cervical stenosis may be associated with a worse outcome and a higher recurrence rate than those those secondary to disc herniation. The evidence is low (Level IV) and individualized treatment must be recommended.

Use of a polymethylmethacrylate cervical cage in the treatment of single-level cervical disc disease

2005 ◽  
Vol 3 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Jyi-Feng Chen ◽  
Chieh-Tsai Wu ◽  
Sai-Cheung Lee ◽  
Shih-Tseng Lee
Keyword(s):  
Cancellous Bone ◽  
Disc Herniation ◽  
Interbody Fusion ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Cervical Disc Disease ◽  
Disc Disease ◽  
Content Type ◽  
Single Level ◽  
Fine Print

Object. Polymethylmethacrylate (PMMA) bone cement has been used as a spacer in the treatment of patients with cervical disc disease with good long-term outcomes, but solid bone fusion has not been demonstrated in all cases. To achieve cervical interbody fusion, the authors designed a modified PMMA cervical cage that they filled with spongy bone for the treatment of single-level cervical disc herniation. Methods. Sixty-three patients underwent anterior cervical microdiscectomy and implantation of a PMMA cervical cage filled with autograft cancellous bone and were followed for a minimum of 2 years. The fusion rates were 90.5 and 100% at the 6- and 12-month follow-up examinations, respectively. The mean intervertebral disc height gain was 3.4 ± 1.9 mm when preoperative and 24-month postoperative values were compared. Neck pain, measured using the Huskissan visual analog scale (0 mm, no pain; 100 mm, worst possible pain), decreased from 71 ± 13 mm at preoperative baseline to 28 ± 17 at 6, 23 ± 19 at 12, and 31 ± 19 mm at 24 months. Based on the same scale, radicular pain decreased from 83 ± 15 mm at preoperative baseline to 24 ± 11 at 6, 27 ± 13 at 12, and 22 ± 11 mm at 24 months. The self-rated clinical outcome was excellent in 45 (71.4%) and good in 18 (28.6%) of the 63 patients. Conclusions. The autograft cancellous bone—filled PMMA cage is safe and effective for cervical interbody fusion in the treatment of single-level cervical disc herniation and monoradiculopathy.

Mild Cervical Spine Trauma Showing Symptomatic Calcified Cervical Disc Herniation in a Child

Spine ◽  
2003 ◽  
Vol 28 (5) ◽  
pp. E93-E94 ◽  
Author(s):  
Klaus-D. Schaser ◽  
John F. Stover ◽  
Max J. Kaeaeb ◽  
N. P. Haas ◽  
Thomas Mittlmeier
Keyword(s):  
Cervical Spine ◽  
Disc Herniation ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Cervical Spine Trauma ◽  
Spine Trauma

scholarly journals Role of Magnetic Resonance Imaging in the Diagnosis of Cervical Disc Herniation: Comparison with Peroperative Findings

2014 ◽  
Vol 13 (2) ◽  
pp. 59-62
Author(s):  
Tarannum Morshed ◽  
Shahara Haque ◽  
Md Abdul Awwal ◽  
Naffisa Abedin ◽  
Sadia Sultana
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Spine ◽  
Magnetic Resonance ◽  
Clinical Features ◽  
Disc Herniation ◽  
Predictive Value ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Resonance Imaging

The present method comparison study was carried out in the Radiology and Imaging Department of Dhaka Medical College & Hospital, Dhaka during the period of January 2012 to December 2013 to evaluate the role of Magnetic Resonance Imaging in the diagnosis of cervical disc herniation. A total of 40 patients having clinical features of cervical disc herniation with neck pain referred to the Department of Radiology & Imaging for MRI of their cervical spine were included in the study. At first all the patients were evaluated by detail history and clinical examination with special emphasis on clinical features. Then subsequently MRI of cervical spine was performed in all cases. The MRI report was checked by a competent radiologist of the department of Radiology and imaging DMCH. Among these 40 patients 11 were operated in department of neurosurgery, DMCH and 29 were operated in spine surgery unit, Department of Orthopaedic, BSMMU, Dhaka. The MRI and peroperative findings of these 40 patients were analyzed for the study. MRI findings correlated well in most of the cases with preoperative findings. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of MRI in the diagnosis of cervical disc herniation were 94.12%, 83.33%, 96.97%, 71.43% and 92.5% respectively. Therefore it can be concluded that MRI may be used as a reliable tool with which we can assess the level, type and position of cervical disc herniation and can plan the subsequent appropriate management in majority of cases.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i2.21071

scholarly journals Evaluation of Concordance between Degenerative Changes on Neck X-Ray and Symptomatic Cervical Disc Herniation

2020 ◽  
Vol 8 (2) ◽  
pp. 22
Author(s):  
Amir Abbas Ghasemi ◽  
Saber Ramezanpour
Keyword(s):  
Cervical Spine ◽  
Disc Herniation ◽  
Demographic Data ◽  
Degenerative Changes ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Cross Sectional ◽  
Radiographic Findings ◽  
X Ray ◽  
Level Group

Objectives: Radiographic assessment of cervical spine can help find the etiology of neck symptoms, however association between these findings is debatable. The aim of this study was to investigate the association between degenerative changes of the cervical spine and symptomatic cervical disc herniation. Patients and Methods: This cross-sectional retrospective study included 160 patients who underwent anterior cervical discectomy and fusion between February 2012 and June 2017 for cervical disc herniation. Demographic data, patients’ symptoms and radiographic findings and indices were evaluated. The Chi-Square (X2) and one-way ANOVA were used to compare the observed data. Results: A total of 160 patients were studied. Among them, 83 (52%) were male and 77(48%) were female. The patients were classified into four groups on the basis of imaging findings: 89(55.6%) with degenerative changes and symptomatic disc herniation at the same level (group 1), 40(25%) with degenerative changes at a level adjacent to symptomatic level (group 2), 23(14.3%) with symptomatic herniation both at the degenerated level and at level immediately adjacent to it (group 3), and 8(5%) symptomatic herniation and degenerative changes at non-adjacent levels (group 4). There were no significant differences among the four groups from the viewpoint of gender, age, symptoms, smoking and sedentary life style. The study also showed no significant differences between groups with respect to Ishihara index, disc height and posterior osteophyte length. Conclusion: Degenerative changes visible on neck X-ray can be useful clues to the symptomatic disc herniation, but disc herniation may also develop at adjacent and non-adjacent levels.

scholarly journals Effective Range of Percutaneous Posterior Full-Endoscopic Paramedian Cervical Disc Herniation Discectomy and Indications for Patient Selection

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Hongquan Wen ◽  
Xin Wang ◽  
Wenbo Liao ◽  
Weijun Kong ◽  
Jianpu Qin ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Patient Selection ◽  
Average Distance ◽  
Cervical Disc Herniation ◽  
Effective Range ◽  
Herniated Disc ◽  
Cervical Disc ◽  
Effective Treatment Option ◽  
Medial Border ◽  
Dural Sac

The objective was to investigate the effective and safe range of paramedian CDH by percutaneous posterior full-endoscopy cervical intervertebral disc nucleus pulposus resection (PPFECD) to provide a reference for indications and patient selection. Sixteen patients with CDH satisfied the inclusion criteria. Before surgery the patients underwent cervical spine MRI, and the distance between the dural sac and herniated disc was measured. An assessment was performed by MRI immediately after surgery, measuring the distance between dural sac and medial border of discectomy (DSMD). The preoperative average distance between the dural sac and peak of the herniated disc (DSPHD) was 3.87 ± 1.32 mm; preoperative average distance between dural sac and medial border of herniated disc (DSMHD) was 6.91 ± 1.21 mm and an average distance of postoperative DSMD was 5.41 ± 1.40 mm. Postoperative VAS of neck and shoulder pain was significantly decreased but JOA was significantly increased in each time point compared with preoperative ones. In summary, the effective range of PPFECD to treat paramedian CDH was 5.41 ± 1.40 mm, indicating that DSMHD and DSPHD were within 6.91 ± 1.21 mm and 3.87 ± 1.32 mm, respectively. PPFECD surgery is, therefore, a safe and effective treatment option for patients with partial paramedian cervical disc herniation.

scholarly journals Spontaneous regression of cervical disc herniation in a patient with myelopathy

2018 ◽  
Vol 146 (7-8) ◽  
pp. 445-446
Author(s):  
Danilo Radulovic ◽  
Ljiljana Vujotic ◽  
Irena Cvrkota ◽  
Vojislav Bogosavljevic ◽  
Igor Jovanovic
Keyword(s):  
Cervical Spine ◽  
Disc Herniation ◽  
Spontaneous Regression ◽  
Symptomatic Treatment ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Symptomatic Therapy ◽  
Complete Regression ◽  
Magnetic Resonance Imaging Mri ◽  
One Year

Introduction. The aim of this work was to present a rare case of spontaneous regression of a herniated cervical disc in a patient with myelopathy. Case outline. A 31-year-old women presented with two weeks? history of neck pain associated with numbness in her body and all four extremities. Magnetic resonance imaging (MRI) of the cervical spine showed a large posterior medial disc extrusion at the C5?C6 spinal segment, causing myelopathy. The patient refused discectomy that was recommended. She received symptomatic treatment in the form of analgesics, a muscle relaxant, and a hard cervical collar. A follow-up MRI of the cervical spine, performed after 11 months, revealed almost complete regression of disc herniation. The patient?s symptoms subsided completely after one year. Conclusion. In some cases of cervical disc herniation with myelopathy, especially in patients with mild neurological deficit, symptomatic therapy should be considered.

Intradural cervical disc herniation

2000 ◽  
Vol 92 (2) ◽  
pp. 221-224 ◽  
Author(s):  
Wolfgang Börm ◽  
Torsten Bohnstedt
Keyword(s):  
Disc Herniation ◽  
Anterior Approach ◽  
Cervical Disc Herniation ◽  
Herniated Disc ◽  
Cervical Disc ◽  
Resonance Imaging ◽  
Pertinent Literature ◽  
Disc Space ◽  
Content Type ◽  
Therapeutic Implications

✓ The authors describe a rare case of an intradural cervical disc herniation in a 40-year-old man presenting with Brown—Séquard's syndrome. Magnetic resonance imaging revealed the pathological entity at the C5–6 disc space, which showed suspicious signs of intradural extension of the disc herniation. After the patient underwent microsurgical removal of the herniated disc via an anterior approach, he experienced a complete remission of symptoms. The existing pertinent literature is reviewed, and diagnostic and therapeutic implications are discussed.

scholarly journals Cervical Disc Herniation Presenting with Chest Wall Pain

1993 ◽  
Vol 20 (1) ◽  
pp. 59-61 ◽  
Author(s):  
Michael C. Yeung ◽  
Neil A. Hagen
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cervical Spine ◽  
Chest Wall ◽  
Disc Herniation ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Resonance Imaging ◽  
Neck Movement ◽  
Disc Material ◽  
Magnetic Resonance Imaging Mri

ABSTRACT:This report highlights the clinical features of two patients who presented with severe neuropathic chest wall pain caused by herniated C6-7 disc, and speculates on the pathophysiology of this syndrome. Worsening of symptoms with neck movement helped localize the process as cervical spine rather than plexus in origin. Both patients had herniated C6-7 disc material compressing the spinal cord and C7 nerve root, and neurological symptoms resolved promptly following surgery. Neuropathic chest wall pain should alert the clinician to consider the diagnosis of cervical disc herniation and prompt definitive imaging of the cervical spine by myelography or magnetic resonance imaging (MRI).

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