Update on Cervical Hernia Treatment: Conservative Management and Indications of Different Surgical Techniques

Silva, Luis Eduardo Carelli Teixeira da; Almeida, Luiz Eduardo Pereira Costa Assis de

doi:10.1055/s-0041-1724007

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Revista Brasileira de Ortopedia

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Update Articles, Column • Rev. bras. ortop. 56 (1) • Jan-Feb 2021 • https://doi.org/10.1055/s-0041-1724007 copy

Update on Cervical Hernia Treatment: Conservative Management and Indications of Different Surgical Techniques

Authorship SCIMAGO INSTITUTIONS RANKINGS

Summary

Cervical and root pain due to herniated disc is one a common cause of a visit to an orthopedic surgeon. It is important to know how to diagnose, treat and initially.

What are the best options to treat a herniated disc nowadays? The present article reviews the literature and updates on the clinical and surgical treatment of cervical disc herniation.

Keywords
cervical vertebrae; intervertebral disc displacement/diagnosis; intervertebral disc displacement/therapy; intervertebral disc displacement/surgery

Root	Pain localization	Motor dysfunction	Sensory dysfunction	Reflection
C5	Shoulder and arm	Deltoid, supraspinatus, infraspinatus and biceps.	Proximal and lateral shoulder	Bicipital
C6	Radial part of the forearm	Wrist biceps and extensors	Radial part of the forearm	Styloradial
C7	Dorsal part of the forearm	Fist triceps and flexors	Index finger and middle finger	Tricipital
C8	Ulnar part of the forearm	Hand intrinsics	Ring and ulnar hand edge	-

Conservative treatment	Interventionist treatment	Surgical treatment
• Drug therapy	• Foraminal block	• Posterior discectomy + foraminotomy
• Physical therapy	• Translaminar epidural block	• Anterior discectomy + arthrodesis
• Traction		• Cervical disc arthroplasty
• Strengthening

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] Address for correspondence Luis Eduardo Carelli Teixeira da Silva, MD, Instituto Nacional de Traumatologia e Ortopedia (INTO), Rua Desembargador João Claudino de Oliveira e Cruz, 50, Apt 1804, Barra da Tijuca, Rio de Janeiro, RJ, 22793-071, Brazil (e-mail: luiscarelli@uol.com.br).