Myelopathy associated with age-related cervical disc herniation: a retrospective review of magnetic resonance images

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

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Cervical brucellar spondylodiscitis mimicking a cervical disc herniation with epidural abscess: a case report

Acta Medica Anatolia ◽

10.15824/actamedica.5000012115 ◽

2014 ◽

Vol 0 (0) ◽

Author(s):

Ahmet Aslan ◽

Ünal Kurtoğlu ◽

Mustafa Özgür Akça ◽

Sinan Tan ◽

Uğur Soylu ◽

...

Keyword(s):

Case Report ◽

Disc Herniation ◽

Epidural Abscess ◽

Cervical Disc Herniation ◽

Cervical Disc

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Effects of Rehabilitation Exercise After Cervical Disc Herniation Reconstruction on Cervical Extension Strength, Flexion/Extension Strength Ratio and VAS in Female Patients with Neck Pain

Korean Journal of Sports Science ◽

10.35159/kjss.2020.10.29.5.965 ◽

2020 ◽

Vol 29 (5) ◽

pp. 965-976

Author(s):

Gun-Do Kim ◽

Gil-Soo Han

Keyword(s):

Neck Pain ◽

Disc Herniation ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Strength Ratio ◽

Female Patients ◽

Flexion Extension ◽

Rehabilitation Exercise

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Second ever reported case of central cause of unilateral foot drop due to cervical disc herniation: Case report and review of literature

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2021.105928 ◽

2021 ◽

pp. 105928

Author(s):

Mutaz Alhardallo ◽

Walid El Ansari ◽

AbdulMoeen Baco

Keyword(s):

Case Report ◽

Disc Herniation ◽

Foot Drop ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Review Of Literature

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Comparative evaluation of posterior percutaneous endoscopy cervical discectomy using a 3.7 mm endoscope and a 6.9 mm endoscope for cervical disc herniation: a retrospective comparative cohort study

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-03980-9 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Tong Yu ◽

Jiu-Ping Wu ◽

Jun Zhang ◽

Hai-Chi Yu ◽

Qin-Yi Liu

Keyword(s):

Clinical Outcomes ◽

Disc Herniation ◽

Large Diameter ◽

Clinical Results ◽

Cervical Disc Herniation ◽

Cervical Disc ◽

Cervical Discectomy ◽

Significant Difference ◽

Cord Injury ◽

Percutaneous Endoscopy

Abstract Background Posterior percutaneous endoscopy cervical discectomy (p-PECD) is an effective strategy for the treatment of cervical diseases, with a working cannula ranging from 3.7 mm to 6.9 mm in diameter. However, to date, no studies have been performed to compare the clinical outcomes of the use of endoscopes with different diameters in cervical disc herniation (CDH) patients. The purpose of this study was to compare the clinical outcomes of patients with unilateral CDH treated with p-PECD using a 3.7 mm endoscope and a 6.9 mm endoscope. Methods From January 2016 to June 2018, a total of 28 consecutive patients with single-level CDH who received p-PECD using either the 3.7 mm or the 6.9 mm endoscope were enrolled. The clinical results, including the surgical duration, hospitalization, visual analog scale (VAS) score and modified MacNab criteria, were evaluated. Cervical fluoroscopy, CT, and MRI were also performed during follow-up. Results Tthere was a significant difference in regard to the average identification time of the “V” point (18.608 ± 3.7607 min vs. 11.256 ± 2.7161 min, p < 0.001) and the mean removal time of the overlying tissue (16.650 ± 4.1730 min vs. 12.712 ± 3.3079 min, p < 0.05) for the use of the 3.7 mm endoscope and the 6.9 mm endoscope, respectively. The postoperative VAS and MacNab scores of the two endoscopes were significantly improved compared with those the preoperative scores (p < 0.05). Conclusion The application of both the 3.7 mm endoscope and 6.9 mm endoscope represent an effective method for the treatment of CDH in selected patients, and no significant difference can be observed in the clinical outcomes of the endoscopes. The 6.9 mm endoscope shows superiority to the 3.7 mm endoscope in terms of the efficiency of “V” point identification, the removal of overlying soft tissue and the prevention of spinal cord injury. However, the 6.9 mm endoscope may be inferior to the 3.7 mm endoscope in regards to anterior foraminal decompression due to its large diameter; this result needs to be further evaluated with the support of a large number of randomized controlled trials.

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