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Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation
C2–3 disc herniation is rare and a definitive treatment of choice has not been established. The purpose of this case report is to suggest posterior approach as one of the best options. A 49-year-old man visited our clinic with a 7-year history of neck pain and occipital headache and a 2-month histor...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Neurotraumatology Society
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8093021/ https://www.ncbi.nlm.nih.gov/pubmed/33981649 http://dx.doi.org/10.13004/kjnt.2021.17.e1 |
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author | Kim, Sunho Hwang, Sung Hwan Cho, Byung-Kyu Yoon, Sang Hoon Yoon, Joonho |
author_facet | Kim, Sunho Hwang, Sung Hwan Cho, Byung-Kyu Yoon, Sang Hoon Yoon, Joonho |
author_sort | Kim, Sunho |
collection | PubMed |
description | C2–3 disc herniation is rare and a definitive treatment of choice has not been established. The purpose of this case report is to suggest posterior approach as one of the best options. A 49-year-old man visited our clinic with a 7-year history of neck pain and occipital headache and a 2-month history of right arm pain. C2–3 intervertebral disc herniation of the central type was diagnosed on magnetic resonance imaging (MRI), and surgery was performed, including C1 laminectomy, C2–3 laminoplasty, and C2–3 posterior fixation. The posterior approach was used because the patient's neck was difficult to operate anteriorly. After 3 months postoperatively, MRI showed widened cerebrospinal fluid space at the C2–3 level. The visual analogue scale score for pain improved in the occipital area and right arm. However, the untouched protruded central disc, subjective weakness in right hand grasping, and numbness persisted. In conclusion, this case highlights posterior decompression and fixation as a good treatment of choice for decompression at the C2–3 level disc herniation, from where it is difficult to remove compressive lesions directly via the anterior corridor. |
format | Online Article Text |
id | pubmed-8093021 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Korean Neurotraumatology Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-80930212021-05-11 Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation Kim, Sunho Hwang, Sung Hwan Cho, Byung-Kyu Yoon, Sang Hoon Yoon, Joonho Korean J Neurotrauma Case Report C2–3 disc herniation is rare and a definitive treatment of choice has not been established. The purpose of this case report is to suggest posterior approach as one of the best options. A 49-year-old man visited our clinic with a 7-year history of neck pain and occipital headache and a 2-month history of right arm pain. C2–3 intervertebral disc herniation of the central type was diagnosed on magnetic resonance imaging (MRI), and surgery was performed, including C1 laminectomy, C2–3 laminoplasty, and C2–3 posterior fixation. The posterior approach was used because the patient's neck was difficult to operate anteriorly. After 3 months postoperatively, MRI showed widened cerebrospinal fluid space at the C2–3 level. The visual analogue scale score for pain improved in the occipital area and right arm. However, the untouched protruded central disc, subjective weakness in right hand grasping, and numbness persisted. In conclusion, this case highlights posterior decompression and fixation as a good treatment of choice for decompression at the C2–3 level disc herniation, from where it is difficult to remove compressive lesions directly via the anterior corridor. Korean Neurotraumatology Society 2021-03-24 /pmc/articles/PMC8093021/ /pubmed/33981649 http://dx.doi.org/10.13004/kjnt.2021.17.e1 Text en Copyright © 2021 Korean Neurotraumatology Society https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Sunho Hwang, Sung Hwan Cho, Byung-Kyu Yoon, Sang Hoon Yoon, Joonho Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation |
title | Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation |
title_full | Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation |
title_fullStr | Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation |
title_full_unstemmed | Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation |
title_short | Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation |
title_sort | posterior approach in c2–3 disc herniation: c1 laminectomy, c2–3 laminoplasty and posterior fixation in c2–3 disc herniation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8093021/ https://www.ncbi.nlm.nih.gov/pubmed/33981649 http://dx.doi.org/10.13004/kjnt.2021.17.e1 |
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