Article information
Abstract
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.
Keywords:
Disc hernia
Spinal column
Pain
Disc prosthesis
Arthrodesis
Resumen
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
Dolor
Prótesis discal
Artrodesis
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