Monday, June 22, 2020

What is cervical disc herniation?

Cervical intervertebral disc herniation is caused by cervical vertebral disc degeneration, compression, rupture of the annulus fibrosus, or prolapse of the nucleus pulposus due to cervical ligament relaxation, vertebral body instability, and cervical soft tissue strain, which stimulates or compresses the cervical vertebral artery, cervical sympathetic nerve, spinal nerve, spinal cord, etc. , Causing headache, dizziness; palpitations, chest tightness; neck soreness, limited mobility; shoulder and back pain, numbness and pain in the upper extremities; gait instability, limb weakness and other symptoms and signs. High paraplegia is life-threatening in severe cases.

The diagnosis of cervical disc herniation mainly relies on symptoms, signs, and imaging examinations (CT, MRI, magnetic resonance, etc.), especially nuclear magnetic resonance is of great significance in the diagnosis of cervical disc herniation. Cervical intervertebral disc herniation can be divided into the main types of cervical intervertebral disc degeneration, bulging, protruding, prolapse, free, etc. according to the imaging characteristics of cervical intervertebral disc pathology. Due to the special stress relationship, the cervical spine often has multiple lesions at the same time, which is slightly different from lumbar disc herniation.

The treatment of cervical disc herniation is mainly based on the type of cervical disc disease. The treatment plan is targeted, such as: taking blood circulation and analgesic drugs, cervical traction, local physiotherapy, injection of pain points, cervical spinal canal injection, cervical multi-dimensional restoration, cervical spine fixation , Cervical intervertebral disc decompression, cervical intervertebral disc nucleus pulposus oxidation, minimally invasive cervical disc resection, cervical disc biochemical dissolution, and surgical operation.

In general, cervical disc herniation should be treated as conservatively as possible, such as: taking blood circulation and analgesic drugs, cervical traction, local physiotherapy, injection of pain points, injection of cervical spinal canal, multi-dimensional cervical spine rehabilitation, cervical spine fixation, etc. Because the risk of surgery is too high, and some patients have difficulty achieving the desired results, but postoperative complications and mortality are daunting. For patients with cervical intervertebral disc herniation who have failed conservative treatment, most people can choose minimally invasive treatment methods, such as: cervical intervertebral disc decompression, cervical disc nucleus pulposus oxidation, minimally invasive cervical disc resection, cervical disc biochemical dissolution, etc., cervical disc The minimally invasive technique opens up broad prospects for the treatment of cervical disc herniation. It not only reduces the risk of cervical surgery but also achieves the same purpose as surgery.

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