Summary
Over a period of 18 years the authors have collected together 230 cases of herniation cervical discs. Multifactor analysis of the results of the various therapies is given. Surgical decompression has been done, mostly using an anterior approach, and it effectively treats the radicular damage; it stabilizes and improves spinal cord deficits whether the herniation is spontaneous or traumatic, acute or chronic. Computed tomography facilitates its anatomical identification and the decision regarding the therapy to apply.
Similar content being viewed by others
References
Alajouanine, T. H., Thurel, R., Hernie discale de la région cervicale. Rev. Neurol.78 (1946), 55–61.
Braakman, R., Cervical spondylotic myelopathy. In: Advances and Technical Standards in Neurosurgery, Vol. 6 (Krayenbuhl, H.,et al., eds.), pp. 137–169. Wien-New York: Springer. 1979.
Broager, B., Cervical disk prolapse. Acta Psychiatr. Scand.19 (1944), 45–50.
Cloward, R. B., The anterior approach for removal of ruptured cervical disks. J. Neurosurg.15 (1958), 602–617.
Coin, G., Coin, J. T., Computed tomography of cervical disk disease: technical considerations with representative case reports. J. Comput. Assist. Tomogr.5 (1981), 275–285.
Decoulx, P., Houcke, E., Razemon, J. P., Anatomie pathologique de la hernie discale. Presse Médicale40, (1958), 899–905.
Dereymaker, A., Ghosez, J. P., Henkes, R., Le traitement chirurgical de la discopathie cervicale, Résultats comparés de l'abord postérieur (laminectomie) et l'abord ventral (fusion corporelle) dans une cinquantaine de cas personnels. Neurochirurg.9 (1963), 13–20.
Eriksen, E. F., Buhl, M., Fode, K., Klaerke, A., Kryer, L., Lindeberg, H., Madsen, C. B., Strange, P., Wohlert, L., Espersen, J. O., Treatment of cervical disc disease using Cloward's technique. II. The prognostic value of clinical postoperative date in 1,106 patients. Acta Neurochir. (Wien)70 (1984), 181–197.
Espersen, J. O., Buhl, M., Eriksen, E. F., Fode, K., Klaerke, A., Kryer, L., Lindeberg, H., Madsen, C. B., Strange, B., Wohlert, L., Treatment of cervical disc disease using Cloward's technique. I. General results, effect of different operative methods and complications in 1,106 patients. Acta Neurochir. (Wien)70 (1984), 97–114.
Frykholm, R., Compression resulting from disk degeneration and root sleeve fibrosis. Acta Chir. Scand. 1951, suppl. 160.
Frykholm, R., Deformities of durai pouches and strictures of dural sheats in the cervical region producing nerve roots compression. A contribution to the etiology and operative treatment of brachial neuralgia. J. Neurosurg.4 (1947), 403–413.
Frykholm, R., Cervical nerve root compression resulting from disc degeneration and root-sleeve fibrosis. F. Acta Chir. Scand.160, 1–148.
Hinshaw, D. B., Yamada, S., Hasso, A. N., Cervical spinal angiography in midline spondylosis and herniations of intervertebral discs. Surg. Neurol.12 (1979), 15–19.
Husag, L., Probst, Ch., Microsurgical anterior approach to cervical discs. Revoew of 60 consecutive cases of discectomy without fusion. Acta Neurochir. (Wien)73 (1984), 229–242.
Jomin, M., Combelles, G., Lesoin, F., Delandsheer, J. M., Les myéloradiculopathies par cervicarthrose. Étude clinique et thérapeutique (à propos de 560 malades opérés). Lille Méd.23 (1978), 393–405.
Kraemer, J., Laturnus, H., Lumbar intradiscal instillation with aprotinine. Spine7 (1982), 73.
Lesoin, F., Jomin, M., Clarisse, J., Protrusions discales cervicales molles. Utilisation d'aprotinine intradiscale par voie percutanée. Présse Médicale13 (1984), 14.
Lunsford, L. D., Bissonette, D. J., Jannetta, P. J., Anterior surgery for cervical disc disease. I. Treatment of lateral cervical disc herniation in 253 cases. J. Neurosurg.53 (1980), 1–11.
Martins, A. N., Anterior cervical discectomy with and without interbody bone graft. J. Neurosurg.44 (1976), 290–295.
Mazoyer, J. F., Levy, A., Clave, C., Bochu, M., La Phlébographie rachidienne lombaire et cervicale. II. Résultats anormoux, tolérance, intérêt de la méthode ét indications. Lyon Méd.240 (1978), 575–580.
Miyasaka, K., Isu, T., Iwasak, Y., High resolution computed tomography in the diagnosis of cervical disc disease. Neuroradiology24 (1983), 253–267.
Moussa, A. H., Nitta, M., Symon, L., The results of anterior cervical fusion in cervical spondylosis. Review of 125 cases. Acta Neurochir. (Wien)68 (1983), 277–288.
Murphey, F., Simmons, Jc. H., Brunson, B., Surgical treatment of laterally ruptured cervical disc. Review of 648 cases, 1939 to 1972. J. Neurosurg.38 (1973), 679–683.
Pertuiset, B., Fohanno, D., Lyon-Caen, D., Recurrent instability of the cervical spine with neurological implications.—Treatment by anterior spinal fusion. In: Advances and Technical Standards in Neurosurgery, Vol. 5 (Krayenbühl, H.,et al., eds.), pp. 175–211. Wien-New York: Springer. 1978.
Robinson, R. A., Smith, G., Antero-lateral cervical disc removal and interbody fusion for cervical disc syndrome. Bull. Johns Hopkins Hosp.23 (1955), 223–224.
Roda, J. M., Gonzalez, C., Intradural herniated cervical disc. J. Neurosurg.57 (1982), 278–280.
Schmorl, G., Junghans, H., Clinique et radiologie de la colonne vertébrale normale et pathologique, pp. 141–174. Paris: G. Doin Editeurs. 1956.
Sean, A., O'Laoire, X., David, G. T., Thomas, X., Spinal cord compression due to prolapse of cervical intervertebral disc. J. Neurosurg.59 (1983), 847–853.
Verbiest, H., La chirurgie antérieure et latérale du rachis cervical. Neurochirurg.16, suppl. 2 (1970), 1–212.
Wilson, D. H., Campbell, D. D., Anterior cervical discectomy without bone graft. Report of 71 cases. J. Neurosurg.47 (1977), 551–555.
Wohlert, L., Buhl, M., Eriksen, E. F., Fode, K., Klaerke, A., Kryer, L., Lindeberg, H., Madsen, C. B., Strange, P., Espersen, J. O., Treatment of cervical disc disease using Cloward's technique. III. Evaluation of cervical spondylotic myelopathy in 138 cases. Acta Neurochir. (Wien)71 (1984), 121–131.
Yamano, Y., Disc herniation of cervical spine. Arch. Orthop. Traumat. Surg.96, nr. 4 (1980), 271–277.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Jomin, M., Lesoin, F., Lozes, G. et al. Herniated cervical discs. Acta neurochir 79, 107–113 (1986). https://doi.org/10.1007/BF01407453
Issue Date:
DOI: https://doi.org/10.1007/BF01407453