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Gaceta Médica Espirituana
versión On-line ISSN 1608-8921
Resumen
LAGE BARROSO, Juan Carlos et al. Cervical disc herniation treatment at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus. Gac Méd Espirit [online]. 2020, vol.22, n.2, pp. 101-110. Epub 02-Ago-2020. ISSN 1608-8921.
Background:
Cervical degenerative disease produces a variety of clinical symptoms that can be treated by a non-surgical way, however sometimes surgery is necessary. The most widely used surgical technique to treat this disease is discectomy with arthrodesis. The proper treatment of cervical disc herniation depends on an adequate selection of the surgical technique and its correct performance.
Objective:
To characterize the surgical treatment of cervical disc herniation at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus in the period: January 2015 to December 2018.
Methodology:
A prospective study was carried out at Camilo Cienfuegos General Provincial Hospital in Sancti Spíritus from January 2015 to December 2018. The study population: all the patients who attended the hospital outpatient neurosurgery consultation referring cervicalgia or cervicobraquialgia; the sample: 51 patients diagnosed with cervical disc herniation and performed at least one cervical discectomy.
Results:
Of the patients, 62.8 % were women and 33.3 % were between 51-60 years old. The most affected intervertebral space was C5-C6 (43.7 %). The predominant surgical technique was discectomy with autologous graft placement (79.7 %). The most frequent complication was the expulsion of the graft (3.9 %).
Conclusions:
The behavior of the herniation disc concerning sex, age and affected level was similar to that described in the literature. The most widely used surgical technique was arthrodesis with an autologous iliac crest graft. The complications presented were infrequent.
Palabras clave : Intervertebral disc displacement and surgery; intervertebral disc; cervical disc herniation; diskectomy; arthrodesis; surgical complication.