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[颈椎间盘突出症相关疼痛综合征的管理]

[Management of pain syndroms related to cervical herniated disc].

作者信息

Nowakowski Andrzej, Kubaszewski Lukasz, Kaczmarczyk Jacek

机构信息

Klinika Chirurgii Kregosłupa, Ortopedii Onkologicznej i Traumatologii, Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu.

出版信息

Chir Narzadow Ruchu Ortop Pol. 2007 Mar-Apr;72(2):85-8.

Abstract

Neck pain is common. Conservative treatment is usually successful. Cervical radiculopaty is usually caused by a disc herniation. Conservative treatment is generally successful, however surgery is indicated if radicular pain is severe and persistent for more than 6 to 12 wk. Spinal cord compression and long-tract symptoms may be caused by a central cervical disc herniation, treatment is by anterior disc excision, bone grafting or metal fusion cages. Confirmation of the clinical level of disc herniation must be made by imaging (CT and (or) MRI). With proper patient selection, surgery for cervical disc herniation can be expected to lead to excellent results in the majority of patients (80-90%).

摘要

颈部疼痛很常见。保守治疗通常会取得成功。神经根型颈椎病通常由椎间盘突出引起。保守治疗一般会成功,然而,如果神经根性疼痛严重且持续超过6至12周,则需进行手术。中央型颈椎间盘突出可能导致脊髓压迫和长束征,治疗方法是前路椎间盘切除术、植骨或金属融合器。必须通过影像学检查(CT和(或)MRI)来确定椎间盘突出的临床节段。经过适当选择患者,大多数患者(80%-90%)的颈椎间盘突出症手术有望取得极佳效果。

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