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Inicio Revista Española de Cirugía Ortopédica y Traumatología (English Edition) Cervical Disc Hernia
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Vol. 54. Issue 5.
Pages 314-320 (September - October 2010)
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Vol. 54. Issue 5.
Pages 314-320 (September - October 2010)
Review article
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Cervical Disc Hernia
Hernia de disco cervical
M. Ramírez Valenciaa,
Corresponding author

Corresponding author.
, A. Montes Perezb
a Spine Unit, Orthopaedic and Traumatological Surgery Department, IMAS Hospitals, Barcelona, Spain
b Acute Pain Unit, Anaesthesia Department, IMAS Hospitals, Barcelona, Spain
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Cervical disc hernias are reviewed, their prevalence, pain, clinical diagnosis and further tests required to give the most appropriate treatment. The natural history of cervical disc herniation is benign, with a good response to conservative treatment. The surgical indication is conservative treatment failure and a primary or secondary motor neuron lesion. Surgery has good results with a low complications rate, there being no evidence that it gives better results than any of the available options.

Disc hernia
Spinal column
Disc prosthesis

Se revisan las hernias de disco cervical, su prevalencia, el dolor, el diagnóstico clínico y las pruebas complementarias necesarias para realizar el tratamiento más adecuado. La historia natural de las hernias de disco cervicales es benigna, con una buena respuesta al tratamiento conservador. La indicación de cirugía es el fracaso tratamiento conservador y la lesión de primera o segunda motoneurona. La cirugía presenta buenos resultados con una escasa tasa de complicaciones, no existiendo una evidencia que demuestre mejores resultados con ninguna de las opciones disponibles.

Palabras clave:
Hernia disco
Columna cervical
Prótesis discal
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G. Brattberg, M. Thorslund, A. Wikman.
The prevalence of pain in a general population: The results of a postal survey in a country of Sweden.
Pain, 37 (1989), pp. 215-222
M. Mäkele, M. Heliövaara, K. Sievers, O. Impivaara, P. Knekt, A. Artomaa.
Prevalence, determinants and consequences of chronic neck pain in Finland.
AM J Epidemiol, 134 (1991), pp. 1356-1367
P. Coté, J.D. Cassidy, L. Carroll.
The Saskatchewan health and back pain survey: the prevalence of neck pain and related disability in Saskatchewan adults.
Spine., 23 (1998), pp. 1689-1698
A.K. Juuti, E. Läärä, U. Rajala, M. Laakso, P. Härkönen, S. Keinanën-Kiukkaanniemi, et al.
Prevalence and associated factors of restless legs in 57 year-old urban population in northern Finland.
Acta Neurol Scand, (2009),
National Institute for Health and Clinical Excellence (NICE). Interventional Procedure Guidance 143. Prosthetic intervertebral disc replacement in the cervical spine. [consulted 11/2005]. Available at: www.nice.org.uk/IPG143publiciinfo.
K. Radhakrishnan, W.J. Litchy, W.M. O’ Fallon, L.T. Kurland.
Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990.
Brain, 117 (1994), pp. 325-335
L.D. Lundsford, D.J. Bissonette, P.J. Jannetta, P.E. Sheptak, D.S. Zorub.
Anterior surgery for cervical disc disease. Part 1: treatment of lateral disc herniation in 253 cases.
J Neurosug., 53 (1980), pp. 1-11
J. Kelsey, P. Githens, S. Walter, S. Weil.
An Epidemiological Study of Acute prolapsed cervical Intervertebral Disc.
J Bone Joint Surg Am., 66-A (1984), pp. 907-914
S.D. Boden, P.R. McCowin, D.O. Davis, T.S. Dina, A.S. Mark, S. Wiesel.
Abnormal magnetic resonance scans of the cervical spine in asymptomatic subjects.
J Bone and Join Surg Am., 72-A (1990), pp. 1178-1184
M.J. Smyth, V. Wright.
Sciatica and the intervertebral disc: an experimental study.
J Bone Join Surg Am., 40-A (1958), pp. 1401-1418
S.D. Kuslich, Ulstrom Cl, C.J. Michael.
The tissue origin of low back pain and sciatica: a report of pain response to tissue stimulation during operations on the lumbar spine using local anaesthesia.
Orthop Clin North Am., 22 (1991), pp. 181-187
K. Olmarker, B. Rydevik, C. Nordborg.
Autologous nucleus pulposus induces neurophysiologic and histologic changes in porcine cauda equine nerve roots.
Spine, 18 (1993), pp. 1425-1432
S. Carette, M. Fehlings.
Cervical radiculopathy.
N Eng Med J., 353 (2005), pp. 392-393
G.L. Odom, W. Finney, B. Woodball.
Cervical disk lesions.
JAMA, 166 (1958), pp. 23-38
J.C. Honet, K. Puri.
Cervical radiculitis: treatment and results in 82 patients.
Arch Phys Med Rehabil., 57 (1976), pp. 12-16
E. Viikari-Juntura, M. Prras, E.M. Laasonen.
Validity of clinical test in the diagnosis of root compresision in cervical disc diseases.
Spine, 14 (1989), pp. 253-257
S.H. An.
Clinical presentation of discogenic neck pain, radiculopathy and myelopathy.
The cervical spine, 3rd ed., pp. 755-764
W.M. Baqaie.
Cervical Radiculopathy.
Decission making in spinal care, pp. 102-106
C.A. Heller, P. Stanley, B. Lewis-Jones, R.F. Heller.
Value of X-ray examinations of the cervical spine.
Br Med J., 287 (1983), pp. 1276-1278
J.E. Page, J.F.C. Olliff, D.D. Dundas.
Value of anterior posterior radiography in cervical pain of non-traumatic origin.
Br Med J., 298 (1989), pp. 1293-1294
M.R. Ellenberg, J.C. Honet, W.C. Treanor.
Cervical radiculopathy.
Arch Phys Med Rehabil., 75 (1994), pp. 342-352
C. Manelfe.
Imaging of the spine and spinal cord.
Radiology., 3 (1991), pp. 5-15
D.W. Wilson, R.T. Pezzuti, J.N. Place.
Magnetic resonance imaging in the preoperative evaluation of cervical radiculopthy.
Neurosurgery, 28 (1991), pp. 175-179
S. Vohanka, J. Dvora.
Motor and somatosensory evoked potentials in cervical spine stenosis.
40th Congress of the Czesch and Slovack Nuerophysiology, Brno,
J. Kimura.
Electrodiagnosis in diseases of nerve and muscle: principles and practice.
2nd ed., FA Davis, (1989),
J.S. Saal, J. Saal, E. Yurth.
Non-operative management of herniated cervical intervertebral disc with radiculopathy.
Spine, 21 (1996), pp. 1877-1883
J.Y. Maigne, L. Delingne.
Computed tomography follow-up study of 21 cases of non-operative treated cervical soft disc herniations.
Spine, 19 (1994), pp. 189-191
K. Bush, R. Chaudhuri, S. Hillier, J. Penny.
The pathomorphologic changes that accompany the resolution of cervical radiculopathy: a prospective study with repeat magnetic resonance imaging.
Spine, 22 (1997), pp. 183-186
S. Abdi, S. Datta, A.M. Trescot, D.M. Schultz, R. Adlaka, S.L. Atluri, et al.
Epidural steroids in the management of chronic spinal pain: A systematic review.
Pain Physician., 10 (2007), pp. 185-212
L. Castagnera, P. Maurette, V. Pointillard, J.M. Vital, P. Erny, J. Senegas.
Long term results of cervical epidural steroid injection with and without morphine in chronic cervical radicular pain.
Pain, 58 (1994), pp. 239-243
A. Stav, L. Ovadia, A. Sternberg, M. Kaadan, N. Weksler.
Cervical epidural steroid injection for cervicobrachialgia.
Acta Anaesthesiol Scand., 37 (1993), pp. 562-566
A. Pasqualucci, G. Varrassi, A. Braschi, V.A. Peduto, A. Brunelli, F. Marinangeli, et al.
Epidural local anesthetic plus corticosteroid for the treatment of cervical brachial radicular pain: Single injection versus continuous infusion.
Clin J Pain., 23 (2007), pp. 551-557
L. Manchikanti, M. Boswell, V. Singh, R. Benyamin, B. Fellows, S. Abdi, et al.
Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain.
Pain Physcian., 12 (2009), pp. 699-802
G. Scanlon, T. Moeller-Bertram, S. Romanowsky, M. Wallace.
Cervical transforaminal epidural steroid injections: more dangerous than we think?.
M. Van Kleef, F. Spaans, W. Dingemans, G.A.M. Barendse, E. Floor, M.E. Sluijter.
Effects and side effects of a percutaneous thermal lesion of the dorsal root ganglion in patients with cervical pain syndrome.
Pain, 52 (1993), pp. 49-53
J. Van Zundert, J. Patijn, A. Kessels, I. Lame, H Van Suijlekom, M. Van Kleef.
Pulsed radiofrequency adjacent to the cervical dorsal root ganglion in chronic cervical radicular pain: a double blind sham controlled randomized clinical trial.
A.F. DePalma, R. Rothman, G. Lewinnek, S.T. Canale.
Anterior interbody fusion for severe cervical disc degeneration.
Surg Gynecol Obstet., 134 (1972), pp. 755-761
A.S. Hillibrand, G.D. Carlson, M. Palumbo, P.K. Jones, H.H. Bohlman, Radiculopathy.
myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis.
J Bone Joint Surg Am., 81-A (1999), pp. 519-528
P. Anderson, B. Subach, D. Riew.
Predictors of outcomes after anterior cervical discectomy and fusion. A multivariate analysis.
D. Gore, S. Sepic, G. Gardner, M. Murray.
Neck pain: a long-term follow-up of 205 patients.
K. Mochida, H. Komiri, A. Okawa.
Regression of cervical disc herniation observed on magnetic resonance images.
Spine, 23 (1998), pp. 990-997
I.P. Fouyas, P.F.X. Stathan, P.A.G. Sandercock.
Cochrane review on the role of surgery in cervical spondylotic radiculopathy.
Spine, 27 (2002), pp. 736-747
R. Bertagnoli, J.J. Yue, F. Pfeiffer, A. Fenk-Mayer, J.P. Lawrence, T. Kershaw, et al.
Early results after Pro Disc-C cervical disc replacement.
J Neurosurg Spine., 2 (2005), pp. 403-410
A. Peolsson, M. Peolsson.
Predictive factors for long term outcome of anterior cervical decompression and fusion: a multivariate data analysis.
Eur Spine J., 17 (2008), pp. 406-414
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