
.Those with tumors or abscess in their spina,
.To those with narrow-canal patients with walking difficulties and clumsiness of hands,
.To patients with cervical hernias with compression on the arm nerves and the spinal cord to cause progressive muscle strength loss, sensory and reflex losses,
.To those that complaints persists for 4-6 weeks despite treatment,
.To those with vertebral fractures and dislocation of the vertebras,
.To those severe compression on the cord or nerves,
.To those that existence of the problem has been shown with the radiological examinations performed (like CT, MRI)
Surgical treatment is recommended to those above'
Surgical Methods:
1) Cervical laminectomy: The surgeon reaches the spine from the posterior under general anesthesia and removes the bony structures and removes the bony structures located in the posterior to relieve the compression on the cord. Cord is relieved thus.
2) Simple Anterior Diskectomy: A small incision is made on the anterior side of the neck under general anesthesia. The disk tissue between the two vertebras is completely removed with the help of the microscope. The patient is discharged the next day. There is no need to place a piece of bone (graft) in the place of the disk removed, except for some special cases.
3) Posterior diskectomy: Muscles are incised at the posterior of the neck under general anesthesia and a window is opened on the joint to remove the part of the disk that is compressing the nerve.
4) Corpectomy: In this procedure, surgeons remove the entire vertebra together with the disks. The purpose is to relieve the cord completely. Bone grafts and plaques must be placed instead of the vertebra removed. The piece of bone (graft) in all these procedures is taken from the hip of the patient or from a cadaver. The purpose is to ensure the healing of the bone. Fixing plaques /screws are applied only in certain cases. Removal of these plaques/screws is not unless they cause problems.
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