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Journal of Neurosurgical Sciences 1998 September;42(3):125-30

language: English

Soft cer­vi­cal ­disc her­ni­a­tion. An anal­y­sis of 187 cas­es

Bucciero A., Vizioli L., Cerillo A.

Department of Neurosurgery, School of Medicine, University of Naples “Federico II”, Naples, Italy


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Methods. During ­the peri­od ­from January 1986 to December 1994, 187 con­sec­u­tive ­patients (102 ­males ­and 85 ­females, ­between ­the ­ages of 24 ­and 63 ­years) ­with ­soft ­disc her­ni­a­tions of ­the cer­vi­cal ­spine ­were oper­at­ed on by ante­ri­or ­approach.
Results. One hun­dred ­and twen­ty-sev­en (67.9%) ­patients pre­sent­ed ­pure radic­u­lar syn­drome, 17 (9.1%) ­with ­pure medul­lary syn­drome, ­and 43 (23%) ­with mye­lor­a­dic­u­lop­a­thy. Disc her­ni­a­tion ­was at ­the C3/4 lev­el in 8 (4.3%) cas­es, at ­the C4/5 lev­el in 17 (9.1%) cas­es, at ­the C5/6 lev­el in 101(54%) cas­es, ­and at ­the C6/7 lev­el in 87 (46.6%) cas­es. In 18 (30%) ­patients suf­fer­ing ­from mye­lop­a­thy (­with or with­out radic­u­lop­a­thy) an ­area of ­high MR sig­nal inten­sity ­was ­observed with­in ­the cer­vi­cal ­cord on T2-weight­ed imag­es; ­such ­area cor­re­spond­ed at ­the lev­el of ­cord com­pres­sion by ­the her­ni­at­ed ­disc ­and ­was ­not dem­on­strat­ed on T1-weight­ed imag­es. All ­patients under­went micro­dis­cec­to­my with­out ­bone graft­ing. Complete or ­almost com­plete ­relief of pre­op­er­a­tive symp­tom­a­tol­o­gy ­was ­observed in 95.6% of ­patients ­with radic­u­lop­a­thy ­and in 83.3% of ­those ­with mye­lop­a­thy.

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