Neck pain is a common complaint in society, but it would be wrong to consider every neck pain as a neck hernia. The cause of the degenerative changes that occur in the spine in neck hernia is that the disc part extends into the spinal canal and puts pressure on the nerve root(s).
HOW IS HERNIA DIAGNOSED?
The most common complaints caused by neck hernia are; pain extending to shoulders, arms and hands, numbness, tingling pain extending to both shoulder blades, loss of strength in arms.
In advanced cases, complaints of balance problems, weakness in the legs, inability to control urination or large toilet may also occur. It is recommended that patients with such complaints consult a spine surgeon. After detailed questioning and physical examination, an accurate diagnosis can be made with neck films (x-ray, MR, computed tomography). Electrodiagnostic (EMG) examinations may also aid in the diagnosis.
TREATMENT OPTIONS IN HERNIA OF THE NECK
Surgical treatment is not required for every neck hernia. Even if degenerative changes are seen in the neck on MRI, most of them can be treated without surgery. Non-surgical treatment;
Pain relievers and muscle relaxants
includes regulations in daily life.
When is surgery needed?
Complaints that do not go away despite non-surgical treatment, weakness in arm and/or hand muscles, balance problems, weakness in leg muscles, urine, inability to control large toilets
The surgery can be done with a neck or neck approach. In severe cases, both approaches may be needed. The aim of surgical treatment is to remove the pressure on the nerve roots and to prevent hernia formation at the same level.
Decompression ; It is usually made from the nape, the herniated part is removed from the window opened from the bones.
Anterior discectomy (approach from the anterior part of the neck) and fusion; It is done with a neck approach. It is the most preferred surgical technique. The entire disc is removed and the vertebrae are fused by placing a cage in the intermediate distance.
disc prosthesis; should be applied in selected and appropriate cases. It is not suitable for every neck hernia. It is applied with a neck approach.