Reappraisal of the posterior approach for cervical decompressive herniectomy

Susanna Bacigaluppi, Nicola L. Bragazzi, Samis Zella, Francesco Prada, Mario L. Zavanone, Paolo Rampini

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Does posterior cervical herniectomy impact on symptoms related to cervical paramedian/lateral soft disc herniation? METHODS: In a patient series over 15 years operated for single level paramedian/lateral soft disc herniation with posterior cervical approach, perceived radicular and cervical pre- and postoperative symptoms were reconstructed and analyzed. RESULTS: Out of 105 patients with these characteristics 75 could be recruited for long-term follow-up. Preoperative symptoms included: radicular motor deficit (81.3%); radicular pain (93.3%); radicular sensory deficit (84%); cervical pain (80%) and disturbance of cervical motility (49.3%). Postoperatively radicular motor score improved in all patients (score 5 in 92% and 4 in 8%); sensory disturbance improved in all and radicular pain disappeared in 90% and improved in the others. Cervical pain disappeared in 78% and improved in other 22%, two had new onset moderate cervical pain. CONCLUSIONS: This series confirms safety and efficacy of the posterior approach in relieving motor and sensory symptoms in patients with symptomatic single level, lateral soft disc herniation.

Original languageEnglish
Pages (from-to)30-35
Number of pages6
JournalJournal of Neurosurgical Sciences
Volume63
Issue number1
DOIs
Publication statusPublished - Feb 1 2019

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Keywords

  • Hernia
  • Operative
  • Pain
  • Surgical procedures

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Bacigaluppi, S., Bragazzi, N. L., Zella, S., Prada, F., Zavanone, M. L., & Rampini, P. (2019). Reappraisal of the posterior approach for cervical decompressive herniectomy. Journal of Neurosurgical Sciences, 63(1), 30-35. https://doi.org/10.23736/S0390-5616.16.03774-7