• Wien Med Wochenschr · Jan 1991

    [Surgical treatment of cervical intervertebral disk displacement].

    • J J Langmayr and L Russegger.
    • Universitätsklinik für Neurochirurgie, Innsbruck.
    • Wien Med Wochenschr. 1991 Jan 1; 141 (14): 322-5.

    AbstractBetween the years 1976 und 1989 147 patients were operated on cervical disc herniation at the Neurosurgical Clinic of Innsbruck. 122 of these cases underwent a posterior approach according to Frykholm, 25 patients were treated by an anterior approach according to Cloward and Smith and Robinson, respectively. All patients received a descending myelography followed by a CAT-Scan of the questionable cervical segments the latter was available. In patients with disc herniation and only mild degenerative changes of the cervical spine a dorsal foraminotomy was chosen whereas the cases with nerve root compressions primarily due to spondylosis the ventral approach was preferred. Patients revealed a convincing benefit of motoric deficits after foraminotomy whereas disturbances of sensibility showed minor improvement either by ventral or posterior approach.

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