Home > Journals > Journal of Neurosurgical Sciences > Past Issues > Journal of Neurosurgical Sciences 2019 February;63(1) > Journal of Neurosurgical Sciences 2019 February;63(1):30-5

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

 

ORIGINAL ARTICLE   

Journal of Neurosurgical Sciences 2019 February;63(1):30-5

DOI: 10.23736/S0390-5616.16.03774-7

Copyright © 2016 EDIZIONI MINERVA MEDICA

language: English

Reappraisal of the posterior approach for cervical decompressive herniectomy

Susanna BACIGALUPPI 1, 2 , Nicola L. BRAGAZZI 3, Samis ZELLA 1, Francesco PRADA 1, Mario L. ZAVANONE 1, Paolo RAMPINI 1

1 Neurosurgery, Fondazione IRCCS Ca’ Granda Maggiore Policlinico Hospital, University of Milan, Milan, Italy; 2 Department of Neurosurgery, E.O. Ospedali Galliera, Genoa, Italy; 3 Department of Health Sciences (DISSAL), School of Public Health, University of Genoa, Genoa, Italy


PDF


BACKGROUND: Does posterior cervical herniectomy impact on symptoms related to cervical paramedian/lateral soft disc herniation?
METHODS: In a patient series over 15 years operated for single level paramedian/lateral soft disc herniation with posterior cervical approach, perceived radicular and cervical pre- and postoperative symptoms were reconstructed and analyzed.
RESULTS: Out of 105 patients with these characteristics 75 could be recruited for long-term follow-up. Preoperative symptoms included: radicular motor deficit (81.3%); radicular pain (93.3%); radicular sensory deficit (84%); cervical pain (80%) and disturbance of cervical motility (49.3%). Postoperatively radicular motor score improved in all patients (score 5 in 92% and 4 in 8%); sensory disturbance improved in all and radicular pain disappeared in 90% and improved in the others. Cervical pain disappeared in 78% and improved in other 22%, two had new onset moderate cervical pain.
CONCLUSIONS: This series confirms safety and efficacy of the posterior approach in relieving motor and sensory symptoms in patients with symptomatic single level, lateral soft disc herniation.


KEY WORDS: Hernia - Pain - Surgical procedures, operative

top of page