Abstract
Cervical radiculopathy may be caused by a ruptured intervertebral disk, spondylosis, or a combination of these two processes. Soft disk material extrudes when the posterior annulus ruptures after the nucleus pulposus herniates. Figure 35-1 illustrates a typical lateral extruded disk. Laterally, the posterior annulus is weakest and the posterior longitudinal ligament is thinnest. Consequently, most degenerated disks protrude in this area. Because the nerve root is stretched over this area as it enters the intervertebral foramen, even a small amount of extruded disk material can cause the symptoms and signs of radiculopathy.
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References
Cloward RB: The anterior approach for removal of ruptured cervical disks. J Neurosurg 1958, 15:602–617.
Robinson RA, Smith GW: Anterolateral cervical disk removal and interbody fusion for cervical disk syndrome. Bull John Hopkins Hosp 1995, 96:223–224.
Vishteh AG, Baskin JJ, Sonntag VKH: Techniques of cervical diskectomy with and without fusion. Oper Tech Neurosurg 1998, 1:84–89.
Baskin JJ, Vishteh AG, Dickman CA, Sonntag VKH: Techniques of anterior cervical plating. Oper Tech Neurosurg 1998, 1:90–102.
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© 2004 Springer-Verlag New York, Inc.
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Salcman, M., Heros, R.C., Laws, E.R., Sonntag, V.K.H. (2004). Cervical Radiculoneuropathy: Herniated Intervertebral Disk and Spondylosis. In: Kempe’s Operative Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9007-5_11
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DOI: https://doi.org/10.1007/978-1-4419-9007-5_11
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4612-6481-1
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