[Surgical treatment of cervical disc hernia our experience on 9 cases].

Autor: Hima-Maïga A; Clinique neurochirurgicale CHU FANN., Kpelao E; Clinique neurochirurgicale CHU FANN., Sakho Y; Clinique neurochirurgicale CHU FANN., Diallo M; Service orthopédie hôpital Aristide Ledantec., Ndoye N; Clinique neurochirurgicale CHU FANN., Gaye SM; Clinique neurochirurgicale CHU FANN., Zabsonre SD; Clinique neurochirurgicale CHU FANN., Badiane SB; Clinique neurochirurgicale CHU FANN.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2014; Vol. 29 (3), pp. 44-48.
Abstrakt: Introduction: The cervical disc hernia is uncommon. Its diagnosis is usually easy. But his surgery known controversy between discectomy with or without graft associated or not osteosynthesis. Accordingly we report our experiment of this surgery through a small serie of 9 patients operated by anterior approach.
Materials and Methods: This was a retrospective study of nine (9) patients supported by an anterior cervical disk herniation between 2001 and 2006 at the General Hospital of Grand Yoff in Dakar. The diagnosis was made on clinical and cervical myéloscanner. The postoperative decline was between 1 and 5 years.
Results: The average age of patients was 43 years ranging from 20-68 years. A male prevalence (2/1) was noted. The majority of hernias was degenerative. It was mostly soft disc hernia that prevailed on floors C4-C5 and C5-C6. We always operated on the right side of the patient. We performed a discectomy of a floor in 8 cases and 2 floors in 1 case. The vertebral posterior longitudinal ligament was opened routinely. Graft with osteosynthesis was used in 4 cases. The outcome was good. A spontaneous fusion was noted in 7 cases.
Conclusion: The surgical treatment of cervical disc hernia is usually anterior approach. It is usually associated with good postoperative results.
(Le comitée de rédaction se réserve le droit de revoyer aux auteurs avant toute soumission à l'avis des lecteurs les manuscrits qui ne seraient pas conformes à ces modalités de présentation. En outre il leur conseille de sonserver un examplaire du manuscrit, des figures et des tableaux.)
Databáze: MEDLINE
Externí odkaz: