- Background
The phenomena of herniated cervical disc is not reported as well as herniated lumber disc, especially studies confirmed with magnetic resonance imaging (MRI). CDH can be treated either conservative or surgical. In our study, we will try to see the effect of conservative management on regression of herniated cervical disc.
- Objectives
To evaluate the role of conservative management in cervical disc herniation (CDH).
- PATIENTS AND METHODS:
Sixpatients who presented with neck pain and radiculopathy, and were seen to have CDH on magnetic resonance imaging (MRI) were enrolled for conservative treatment. Only one patient of them had myelopathy but refused surgical management was also enrolled in our study.
- RESULTS
Of total of 6 patients, 33.33% (n=2) were male and 66.66% (n=4) were female. Mean age of the patients was 37.5 years (range 32–45). One patient (16.66%) presented with myelopathy and five patients (83.33%) presented with neck pain and radiculopathy.The discs were paracentral in 4 cases (66.66% of the cases) and central in 2 cases (33.33% of the cases); only one case with central disc bulge had also cord signal. Most affected cervical discs were mostly located at the C5-C6 (3 cases = 50%), C4-C5 (2 cases = 33.33%) and C6-C7 (1 case = 16.66%).The average time interval between initial presentation and spontaneous regression of herniated cervical disc documented on successive MRI scans was 8.83 months.
- CONCLUSION
Conservative treatment of herniated cervical disc is a good option in patients without neurological deficits.Satisfactory clinical improvement can be achieved conservatively in significant percent of patients.Moreover, the decrease in size of herniated cervical disc causing relief of neural compression can be demonstrated by images in some cases.
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