脊髓型颈椎病伴大块椎间盘突出保守治疗1例及文献回顾

doi:10.13418/j.issn.1001-165x.2017.03.022

Abstract

Abstract:

Objective　To explore the choice of treatment programs of cervical spondylitic myelopathy and the cause of natural absorption of herniated cervical intervertebral disc.　Methods　A case of cervical spondylitic myelopathy with a large cervical disc herniation treated with conservative treatment was reported. The literature of about the controversy on surgical and conservative treatment of cervical spondylitic myelopathy and natural absorption of herniated cervical intervertebral disc was reviewed.　Results　The treatment manners of cervical spondylitic myelopathy include two types, namely, surgical treatment and conservative treatment. Surgery is the preferred treatment for cervical spondylitic myelopathy because traction and manipulation cannot be applied on some patients with cervical spondylitic myelopathy. The advantages and disadvantages of surgical versus conservative treatment for patients with CSM remain controversial. The mechanism of natural absorption of herniated cervical intervertebral disc is unclear.　Conclusion　Early diagnosis and treatment are of great importance for patients with CSM because they can significantly affect their prognosis. The mechanism of natural absorption of herniated cervical intervertebral disc needs further research.

Key words: Herniated cervical intervertebral disc, 　Cervical spondylitic myelopathy, 　Conservative treatment, 　Literature review

LIN Chu-hua, LI Ying-bin, LI Yi-kai. Conservative treatment of cervical spondylitic myelopathy with a large cervical disc herniation: a case report and review of literature[J]. Chinese Journal Of Clinical Anatomy, 2017, 35(3): 341-345.

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Conservative treatment of cervical spondylitic myelopathy with a large cervical disc herniation: a case report and review of literature

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