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European Journal of Physical and Rehabilitation Medicine 2011 March;47(1):53-6

Copyright © 2011 EDIZIONI MINERVA MEDICA

lingua: Inglese

Resorption of a sequestered cervical disc confirmed by magnetic resonance imaging: long term follow-up. Case report

Kocyigit F. 1, Kocyigit A. 2, Manisali M. 3, Akalin E. 1

1 Department of Physical and Rehabilitation Medicine, Dokuz Eylul University Hospital, Izmir, Turkey; 2 Department of Radiology, Pamukkale University Hospital, Denizli, Turkey; 3 Department of Radiology, Dokuz Eylul University Hospital Izmir, Turkey


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In literature cervical disc extrusions are considered by most neurosurgeons a definitive indication for surgery. This approach may stem from a fear of disc fragment migration with neurological deterioration. We report a rare case of cervical disc sequestration with a seldom prognosis which resolved spontaneously in a two-month follow-up on magnetic resonance imaging (MRI), emphasizing the efficacy and applicability of conservative treatment in cervical disc herniations. Even with the basic conservative treatment methods we observed the prominent decrease in symptoms and spontaneous total resorption of the sequestered fragment. Conservative treatment in sequestered cervical discs with no neurological deficit can be an alternative therapeutic approach with the guidence of MRI.

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