Cervical disk diseases. Part I: Treatment options and outcomes

Seth M. Zeidman, Thomas B. Ducker

Research output: Contribution to journalArticlepeer-review

Abstract

Cervical disk diseases present in four distinct clinical entities: discogenic painful disruption, radiculopathy, myeloradiculopathy, and myelopathy. All four conditions are treated differently. The initial diagnostic study is the plain x-ray. If the plain films are normal, then a magnetic resonance imaging scan is more likely to give a definitive diagnosis. If the plain x-rays show distinct bony pathology, then a computed tomography scan with intrathecal enhancement (myelogram) is the better diagnostic study. In many cases, both diagnostic studies are needed. If it is apparent that the clinical condition will not respond to other medical therapies, then operative interventions can be considered. Operative care has to be weighed against the natural history of the disease. Surgical procedures to help these patients call upon use of anterior decompressive and/or posterior decompressive operations. Each case needs to be individualized in order to achieve the best result for the patient.

Original languageEnglish (US)
Pages (from-to)116-143
Number of pages28
JournalNeurosurgery Quarterly
Volume2
Issue number2
StatePublished - Jun 1992

Keywords

  • Cervical disk
  • Cervical spondylosis
  • Discogenic painful disruption
  • Myelopathy
  • Myeloradiculopathy
  • Radiculopathy

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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