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International Orthopaedics

, Volume 43, Issue 4, pp 785–790 | Cite as

Early presentation of traumatic cervical disc herniation with neurologic deficit and without an adjacent bone lesion

  • Jean Claude Sane
  • Jean Marie Vianney HopeEmail author
  • Souleymane Diao
  • Joseph Davy Diouf
  • Amadou Ndiassé Kasse
  • Mouhamadou Habib Sy
Original Paper

Abstract

Aim of the study

The purpose of this study was to explore clinical features and the operational opportunity of traumatic cervical disc herniation.

Method

Patients with cervical spine injury (413) were retrospectively reviewed. Six patients with neurological deficits were identified to have disc herniation without adjacent bone lesion. The diagnosis was confirmed by MRI. The Japanese Orthopedic Association (JOA) score was used to assess the severity of clinical symptoms. Different grading systems have been used in analyzing various stages of herniated cervical discs. All patients underwent anterior cervical decompression, insertion of autologous iliac crest graft, and fixation with cervical plate.

Results

The causes of injury were road traffic accidents in four patients and sport and domestic accidents in one patient each. There were five patients with single intervertebral disc herniation and one patient with double. Pre-operative JOA score was 14 for three patients, the remaining three patients scored 10, 6, and 3 respectively. At final follow-up, the score was 17 for four patients and 14 for two patients.

Discussion

Traumatic cervical disc herniation with neurologic deficit and without adjacent bone lesion is a rare condition. MRI is the golden examination to confirm diagnosis. Early recognition is essential for appropriate therapy and to minimize the extent of neurological deficit.

Conclusion

The MRI is mandatory in diagnosing different types of traumatic herniated cervical disc. Discectomy and anterior cervical interbody fusion using autologous iliac crest graft are the treatment options.

Keywords

Traumatic cervical disc herniation Neurological deficit MRI Discectomy 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  • Jean Claude Sane
    • 1
  • Jean Marie Vianney Hope
    • 1
    Email author
  • Souleymane Diao
    • 1
  • Joseph Davy Diouf
    • 1
  • Amadou Ndiassé Kasse
    • 1
  • Mouhamadou Habib Sy
    • 1
  1. 1.Fellow West African College of Surgeons (FWACS)Cheikh Anta Diop University of DakarDakarSenegal

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