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Laterality of cervical disc herniation

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Abstract

Purpose

Cervical disc herniation (CDH) is found more frequently at the lower cervical spine than at the upper or middle level. However, there is scarcity of data about the laterality of CDH. The aim of this study is to detect the laterality of CDH.

Methods

We retrospectively evaluated preoperative computed tomography myelograms and magnetic resonance images of 75 cases of CDH who underwent single level anterior cervical discectomy and fusion at C4–5, C5–6, or C6–7 levels from 2008 to 2010 in our institute. Statistical analyses were performed using the Chi-square test.

Results

Eleven cases were found at C4–5 level, 42 cases at C5–6 level, and 22 cases at C6–7 level. At C4–5 level, CDH was recognized at the right side in 2 cases, at the left side in 2 cases, and at the center in 7 cases. At C5–6 level, CDH was found at the right side in 20 cases and at the left side in 22 cases. At C6–7 level, CDH was found at the right side in 3 cases and at the left side in 19 cases with significantly high frequency of left-sided CDH (p < 0.025).

Conclusions

In this study, it was revealed that the left-sided CDH was more frequent than the right-sided CDH at C6–7 level.

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Acknowledgments

There is no disclosure of funding receiving for this work.

Conflict of interest

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Authors and Affiliations

  1. Department of Spine and Spinal Surgery, Shinkomonji Hospital, 2-5, Dairishinmachi, Moji, Kitakyushu, Fukuoka, 800-0057, Japan

    Yuichi Takahashi, Takao Yasuhara, Shinji Kumamoto, Kotaro Yoneda, Takashi Tanoue, Masayuki Nakahara, Koichi Ogawa & Kenki Nishida

  2. Department of Spine and Spinal Surgery, Fukuokawajiro Hospital, Higashiku, Fukuoka, Japan

    Takafumi Inoue

  3. Department of Spine and Spinal Surgery, Shintakeo Hospital, Takeo, Saga, Japan

    Yasukazu Hijikata & Tejin Lee

  4. Department of Neurosurgery and Brain Repair, University of South Florida College of Medicine, Tampa, FL, USA

    Cesario V. Borlongan

Authors
  1. Yuichi Takahashi
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  2. Takao Yasuhara
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  3. Shinji Kumamoto
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  4. Kotaro Yoneda
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  5. Takashi Tanoue
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  6. Masayuki Nakahara
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  7. Takafumi Inoue
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  8. Yasukazu Hijikata
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  9. Tejin Lee
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  10. Cesario V. Borlongan
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  11. Koichi Ogawa
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  12. Kenki Nishida
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Corresponding author

Correspondence to Yuichi Takahashi.

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Takahashi, Y., Yasuhara, T., Kumamoto, S. et al. Laterality of cervical disc herniation. Eur Spine J 22, 178–182 (2013). https://doi.org/10.1007/s00586-012-2565-8

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  • DOI: https://doi.org/10.1007/s00586-012-2565-8

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