Taylor-Robinson Simon D, Trovato Guglielmo
Department of Surgery and Cancer, Imperial College London, London, UK.
Department of Medicine, University of Catania, Catania, Italy.
Patient Prefer Adherence. 2021 Nov 5;15:2455-2458. doi: 10.2147/PPA.S340355. eCollection 2021.
Cervical disc prolapse can be accompanied by severe pain, numbness, paraesthesiae and muscle weakness. The choice lies between a conservative approach with physiotherapy and pain modulating drugs, such as gabapentin, or a more active surgical approach, ranging from nerve decompression through vertebral foraminotomy through to cervical disc replacement. We relate the experience of a medically qualified patient in having disc prolapse at three cervical levels and what it was like to experience a lonely and difficult post-surgical recovery. Despite this, the patient would still choose active surgical decompression over a non-interventional approach. The reasons for this are discussed from the patient perspective, of which there is little directly in the medical literature.
颈椎间盘突出可能伴有严重疼痛、麻木、感觉异常和肌肉无力。治疗选择包括采用物理治疗和使用加巴喷丁等疼痛调节药物的保守方法，或者更积极的手术方法，范围从通过椎板间孔切开术进行神经减压到颈椎间盘置换。我们讲述了一位具备医学资质的患者在三个颈椎节段出现椎间盘突出的经历，以及术后孤独而艰难的康复过程。尽管如此，该患者仍会选择积极的手术减压而非非介入性方法。本文从患者角度探讨了这样做的原因，而医学文献中对此直接论述较少。
