Cervical disc herniation

Cervical disc herniation is a common disorder that causes neck pain which radiates to the upper limb on the affected side. In severe cases, a tingling sensation or loss of strength may also appear in the innervation territory of the nerve that is compressed by the hernia. If the herniated disc is central, the spinal cord might be affected (cervical myelopathy).

 

A significant number of patients may improve with conservative treatment (medications, physical therapy and physical rehabilitation) but sometimes surgical intervention is necessary especially in cases with cervical myelopathy.

 

The most common surgical intervention is microdiscectomy through an anterior approach associated with arthroplasty or arthrodesis (fusion). However cervical disc herniations can also be operated through a posterior approach in selected cases. The individualized evaluation of each patient allows us to choose the best surgical treatment option.

Treatments:

 

Anterior cervical microdiscectomy and fusion with intervertebral cage

Anterior cervical microdiscectomy and arthroplasty with disc prosthesis

Posterior cervical microdiscectomy (Scoville technique)

Posterior cervical microforaminotomy

Cervical microsurgical decompression

Posterior cervical fusion

Cervical facet joint infiltration

Radiofrequency rhizolysis

Ozone therapy

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