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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(01): 018-023
DOI: 10.1055/s-0041-1724007
Artigo de Atualização
Coluna

Atualização no tratamento da hérnia discal cervical: Manejo conservador e indicações de diferentes técnicas cirúrgicas

Article in several languages: português | English
Luis Eduardo Carelli Teixeira da Silva 
1   Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil
2   Instituto da Coluna Vertebral do Rio de Janeiro (INCOL), Rio de Janeiro, RJ, Brasil
,
Luiz Eduardo Pereira Costa Assis de Almeida
2   Instituto da Coluna Vertebral do Rio de Janeiro (INCOL), Rio de Janeiro, RJ, Brasil
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Resumo

A dor cervical e radicular devido à hérnia de disco é uma causa comum de uma visita a um cirurgião ortopédico. É importante saber diagnosticar, tratar e inicialmente.

Quais são as melhores opções para tratar a hérnia de disco hoje em dia? Este artigo faz uma revisão da literatura e atualização sobre o tratamento clínico e cirúrgico da herniação do disco cervical.

Palavras-chave

vértebras cervicais - deslocamento do disco intervertebral/diagnóstico - deslocamento do disco intervertebral/terapia - deslocamento do disco intervertebral/cirurgia


Publication History

Received: 01 June 2020

Accepted: 16 September 2020

Article published online:
19 February 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referências

  • 1 Côté P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine 1998; 23 (15) 1689-1698
    CrossrefPubMedSearch in Google Scholar
  • 2 Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 2006; 15 (06) 834-848
    CrossrefPubMedSearch in Google Scholar
  • 3 Kang JD, Georgescu HI, McIntyre-Larkin L, Stefanovic-Racic M, Evans CH. Herniated cervical intervertebral discs spontaneously produce matrix metalloproteinases, nitric oxide, interleukin-6, and prostaglandin E2. Spine 1995; 20 (22) 2373-2378
    CrossrefPubMedSearch in Google Scholar
  • 4 Hoy DG, Protani M, De R, Buchbinder R. The epidemiology of neck pain. Best Pract Res Clin Rheumatol 2010; 24 (06) 783-792
    CrossrefPubMedSearch in Google Scholar
  • 5 Clark CR, Benzel EC. Eds. The cervical spine. Philadelphia: Lippincott Williams & Wilkins; 2005
    Search in Google Scholar
  • 6 Taylor TK, Melrose J, Burkhardt D. et al. Spinal biomechanics and aging are major determinants of the proteoglycan metabolism of intervertebral disc cells. Spine 2000; 25 (23) 3014-3020
    CrossrefPubMedSearch in Google Scholar
  • 7 Manchikanti L, Abdi S, Atluri S. et al. An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations. Pain Physician 2013; 16 (2, Suppl) S49-S283
    PubMedSearch in Google Scholar
  • 8 Pratali RR, Hennemann SA, Amaral R. et al. Terminologia padronizada da deformidade vertebral do adulto para o português do Brasil. Coluna/Columna 2015; 14 (04) 281-285
    CrossrefSearch in Google Scholar
  • 9 Ames CP, Blondel B, Scheer JK. et al. Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy. Spine 2013; 38 (22) (Suppl. 01) S149-S160
    CrossrefPubMedSearch in Google Scholar
  • 10 Goldberg H, Firtch W, Tyburski M. et al. Oral steroids for acute radiculopathy due to a herniated lumbar disk: a randomized clinical trial. JAMA 2015; 313 (19) 1915-1923
    CrossrefPubMedSearch in Google Scholar
  • 11 Moustafa IM, Diab AA. Multimodal treatment program comparing 2 different traction approaches for patients with discogenic cervical radiculopathy: a randomized controlled trial. J Chiropr Med 2014; 13 (03) 157-167
    CrossrefPubMedSearch in Google Scholar
  • 12 Yang JD, Tam KW, Huang TW, Huang SW, Liou TH, Chen HC. Intermittent Cervical Traction for Treating Neck Pain: A Meta-analysis of Randomized Controlled Trials. Spine 2017; 42 (13) 959-965
    CrossrefPubMedSearch in Google Scholar
  • 13 Ylinen J, Takala EP, Nykänen M. et al. Active neck muscle training in the treatment of chronic neck pain in women: a randomized controlled trial. JAMA 2003; 289 (19) 2509-2516
    CrossrefPubMedSearch in Google Scholar
  • 14 Ma DJ, Gilula LA, Riew KD. Complications of fluoroscopically guided extraforaminal cervical nerve blocks. An analysis of 1036 injections. J Bone Joint Surg Am 2005; 87 (05) 1025-1030
    CrossrefPubMedSearch in Google Scholar
  • 15 Abbasi A, Malhotra G, Malanga G, Elovic EP, Kahn S. Complications of interlaminar cervical epidural steroid injections: a review of the literature. Spine 2007; 32 (19) 2144-2151
    CrossrefPubMedSearch in Google Scholar
  • 16 Bose B. Quadriparesis following cervical epidural steroid injections: case report and review of the literature. Spine J 2005; 5 (05) 558-563
    CrossrefPubMedSearch in Google Scholar
  • 17 Hodges SD, Castleberg RL, Miller T, Ward R, Thornburg C. Cervical epidural steroid injection with intrinsic spinal cord damage. Two case reports. Spine 1998; 23 (19) 2137-2142 , discussion 2141–2142
    CrossrefPubMedSearch in Google Scholar
  • 18 Ludwig MA, Burns SP. Spinal cord infarction following cervical transforaminal epidural injection: a case report. Spine 2005; 30 (10) E266-E268
    CrossrefPubMedSearch in Google Scholar
  • 19 Scoville WB. Recent developments in the diagnosis and treatment of cervical ruptured intervertebral discs. Proc Am Fed Clin Res 1945; 2: 23
    PubMedSearch in Google Scholar
  • 20 Song Z, Zhang Z, Hao J. et al. Microsurgery or open cervical foraminotomy for cervical radiculopathy? A systematic review. Int Orthop 2016; 40 (06) 1335-1343
    CrossrefPubMedSearch in Google Scholar
  • 21 O'Toole JE, Sheikh H, Eichholz KM, Fessler RG, Perez-Cruet MJ. Endoscopic posterior cervical foraminotomy and discectomy. Neurosurg Clin N Am 2006; 17 (04) 411-422
    CrossrefPubMedSearch in Google Scholar
  • 22 Gala VC, O'Toole JE, Voyadzis JM, Fessler RG. Posterior minimally invasive approaches for the cervical spine. Orthop Clin North Am 2007; 38 (03) 339-349 , abstract v
    CrossrefPubMedSearch in Google Scholar
  • 23 Zdeblick TA, Zou D, Warden KE, McCabe R, Kunz D, Vanderby R. Cervical stability after foraminotomy. A biomechanical in vitro analysis. J Bone Joint Surg Am 1992; 74 (01) 22-27
    CrossrefPubMedSearch in Google Scholar
  • 24 Evaniew N, Khan M, Drew B, Kwok D, Bhandari M, Ghert M. Minimally invasive versus open surgery for cervical and lumbar discectomy: a systematic review and meta-analysis. CMAJ Open 2014; 2 (04) E295-E305
    CrossrefPubMedSearch in Google Scholar
  • 25 Cloward RB. The anterior approach for removal of ruptured cervical disks. J Neurosurg 1958; 15 (06) 602-617
    CrossrefPubMedSearch in Google Scholar
  • 26 Song KJ, Taghavi CE, Lee KB, Song JH, Eun JP. The efficacy of plate construct augmentation versus cage alone in anterior cervical fusion. Spine 2009; 34 (26) 2886-2892
    CrossrefPubMedSearch in Google Scholar
  • 27 Oliver JD, Goncalves S, Kerezoudis P. et al. Comparison of Outcomes for Anterior Cervical Discectomy and Fusion With and Without Anterior Plate Fixation: A Systematic Review and Meta-Analysis. Spine 2018; 43 (07) E413-E422
    CrossrefPubMedSearch in Google Scholar
  • 28 Nambiar M, Phan K, Cunningham JE, Yang Y, Turner PL, Mobbs R. Locking stand-alone cages versus anterior plate constructs in single-level fusion for degenerative cervical disease: a systematic review and meta-analysis. Eur Spine J 2017; 26 (09) 2258-2266
    CrossrefPubMedSearch in Google Scholar
  • 29 Nemoto O, Kitada A, Naitou S, Tachibana A, Ito Y, Fujikawa A. Stand-alone anchored cage versus cage with plating for single-level anterior cervical discectomy and fusion: a prospective, randomized, controlled study with a 2-year follow-up. Eur J Orthop Surg Traumatol 2015; 25 (Suppl. 01) S127-S134
    CrossrefPubMedSearch in Google Scholar
  • 30 Iyer S, Nemani VM, Nguyen J. et al. Impact of Cervical Sagittal Alignment Parameters on Neck Disability. Spine 2016; 41 (05) 371-377
    CrossrefPubMedSearch in Google Scholar
  • 31 Koreckij TD, Gandhi SD, Park DK. Cervical Disk Arthroplasty. J Am Acad Orthop Surg 2019; 27 (03) e96-e104
    CrossrefPubMedSearch in Google Scholar
  • 32 Hisey MS, Bae HW, Davis RJ. et al. Prospective, Randomized Comparison of Cervical Total Disk Replacement Versus Anterior Cervical Fusion: Results at 48 Months Follow-up. J Spinal Disord Tech 2015; 28 (04) E237-E243
    CrossrefPubMedSearch in Google Scholar
  • 33 Vleggeert-Lankamp CLA, Janssen TMH, van Zwet E. et al. The NECK trial: Effectiveness of anterior cervical discectomy with or without interbody fusion and arthroplasty in the treatment of cervical disc herniation; a double-blinded randomized controlled trial. Spine J 2019; 19 (06) 965-975
    CrossrefPubMedSearch in Google Scholar