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颈椎间盘的自然消退:14例回顾性分析。

Spontaneous regression of cervical discs: Retrospective analysis of 14 cases.

作者信息

Turk Okan, Yaldiz Can

机构信息

Department of Neurosurgery, İstanbul Training and Research Hospital, Istanbul.

Department of Neurosurgery, Sakarya Training and Research Hospital, Sakarya, Turkey.

出版信息

Medicine (Baltimore). 2019 Feb;98(7):e14521. doi: 10.1097/MD.0000000000014521.

Abstract

Cervical disc herniation is a condition which arises from compression of cervical spinal nerve root by the degenerated disc and vast majority of the patients are aged between 30 and 40 years. Spontaneous regression of cervical disc was first reported by Kriegerand Maniker in 1992. Our study is the second large series in literature. Besides, 4 patients are the first who were shown to have resorption in C 4-5.The records of patients diagnosed with cervical disc herniation who applied to the Spine Polyclinic between 2014 and 2018 were reviewed retrospectively. The files of the patients who were recommended surgery with the diagnosis of cervical disc herniation were examined. Patients who did not accept surgery on their own initiative, but who attended our outpatient clinic for a check-up were included in the study.Of a total of 14 patients, 28.57% (n = 4) were male and 71.43% (n = 10) were female. Mean age of the patients was 40.79 (range 25-60).The results of the study indicate that likelihood of spontaneous regression is higher in para-central or foraminal disc compared to central disc hernias. Although there are a limited number of case reports in the literature, conservative treatment seems to be a good option in patients without neurological deficits, with foraminal disc hernias and not requiring emergency surgery.

摘要

颈椎间盘突出症是一种由退变椎间盘压迫颈脊神经根引起的疾病,绝大多数患者年龄在30至40岁之间。1992年,克里格和马尼克尔首次报道了颈椎间盘的自发退变。我们的研究是文献中的第二个大型系列研究。此外,有4例患者是首次被证明在C4-5节段出现吸收。回顾性分析了2014年至2018年期间到脊柱门诊就诊的颈椎间盘突出症患者的记录。检查了被诊断为颈椎间盘突出症并建议手术的患者档案。将那些没有主动接受手术,但到我们门诊进行检查的患者纳入研究。在总共14例患者中,男性占28.57%(n = 4),女性占71.43%(n = 10)。患者的平均年龄为40.79岁(范围25 - 60岁)。研究结果表明,与中央型椎间盘突出相比,旁中央型或椎间孔型椎间盘自发退变的可能性更高。尽管文献中的病例报告数量有限,但对于没有神经功能缺损、患有椎间孔型椎间盘突出且不需要急诊手术的患者,保守治疗似乎是一个不错的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/46d6/6407963/647ccaf12c3f/medi-98-e14521-g002.jpg

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