颈 阀瓣 椎间盘突出
Overview
The cervical spine consists of the top seven bones of the spine, 椎骨, located in your neck or the area between your skull and chest. The vertebrae that form the spine are cushioned by discs that act as shock absorbers and keep the spine flexible.
Over time as we age, discs can lose elasticity and ligaments around the discs can become brittle. When damaged, discs may bulge or rupture and cause what's called a herniated or slipped disc. Most herniated discs occur either in the cervical area or lower back called the lumbar spine.
Our approach to cervical disc herniation
UCSF is home to one of the largest centers in the country dedicated to evaluating and treating spinal disorders, such as cervical disc herniation. 病人 have access to the most up-to-date diagnostic imaging techniques as well as innovative treatments that are not widely available. Our team includes world-renowned specialists in 神经外科, 整形外科手术, 神经学, 疼痛管理, 物理治疗, 精神病学, 放射学和风湿病学. These experts work together to personalize a plan for each patient.
Initial treatment for cervical disc herniation includes a combination of rest, 止痛药, 物理治疗 and wearing a brace. For the approximately 10 percent of patients who need surgery, our expertise in state-of-the-art surgical repair and rehabilitation results in less time under anesthesia, 更快的恢复和, 最终, 更好的生活质量.
奖 & 识别
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Among the top hospitals in the nation
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One of the nation's best for orthopedic care
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加州最好，排名第一. 神经病学全国排名第二 & 神经外科
迹象 & 症状
When a herniated disc occurs, it puts pressure on spinal nerves or the spinal cord. The first symptom is usually neck pain.
症状可能包括:
- Pain moving your head and neck, especially turning to the side of the herniated disc
- Pain in your shoulder or arms
- Numbness, tingling or weakness in your shoulder or arms
诊断
Your doctor will check your range of motion in your arms, shoulders and neck. 其他测试可能包括:
- x射线
- Magnetic resonance imaging (核磁共振成像). An 核磁共振成像 provides detailed pictures of the spine that are produced with a powerful magnet linked to a computer
- Computed tomography (CT) scan. A CT scan uses a thin X-ray beam that rotates around the spine area. A computer processes data to construct a 3-dimensional, cross-sectional image
- 脊髓x光像. This is an X-ray of your spine taken after a special dye has been injected into the spinal column. It can show pressure on the spinal cord or problems with discs or vertebrae
- 发片. This test is sometimes used to evaluate back pain in preparation for surgery
治疗
Conservative treatment for cervical disc herniation includes:
- 休息
- 颈套或颈托
- 抗炎药物
- 类固醇药物
- Physical therapy that may include cervical traction
About 10 percent of cervical herniation patients require surgery. Surgical procedures are available depending on the severity of herniation. 它们包括:
- Microdiscectomy or removal of the herniated part of the disc.
- Anterior cervical decompression and fusion in which the disc is removed and the vertebrae are fused together by means of a dowel bone graft, 哪个来自尸体骨头, 在椎骨之间.
- 颈 endoscopic foramenotomy, 有或没有椎间盘切除术, is a minimally invasive procedure in which the herniated disc material is removed using tiny incisions.
加州大学旧金山分校健康 medical specialists have reviewed this information. It is for educational purposes only and is not intended to replace the advice of your doctor or other health care provider. We encourage you to discuss any questions or concerns you may have with your provider.
