[Cervical disc herniation--diagnosis and treatment]

Rev Med Suisse. 2015 Oct 28;11(492):2023-9.
[Article in French]

Abstract

A cervical disc herniation (CDH) is a frequently encountered pathology in primary care medicine. It may give rise to a compression of a nerve root (a radiculopathy, with or without sensory-motor deficit) or of the spinal cord (myelopathy). The majority of CDHs can be supported by means of a conservative treatment. When a radiculopathy is found and a clinico-radiological correlation is present, a moderate neurological deficit appears suddenly, or if it is progressive under conservative treatment or if pain is poorly controlled by well-conducted conservative treatment performed during 6 to 8 months, surgery is then recommended. A symptomatic cervical myelopathy is, by itself, an indication for a surgical treatment.

Publication types

  • English Abstract

MeSH terms

  • Cervical Vertebrae
  • Disease Progression
  • Humans
  • Intervertebral Disc Displacement / diagnosis
  • Intervertebral Disc Displacement / pathology
  • Intervertebral Disc Displacement / therapy*
  • Radiculopathy / diagnosis
  • Radiculopathy / therapy*
  • Spinal Cord Diseases / diagnosis
  • Spinal Cord Diseases / therapy