頚椎椎間板ヘルニアの保存症例の検討

抄録

The clinical results of cervical disc herniation treated with conservative therapy were evaluated in 16 patients. They consisted of 10 patients with myelopathy and 6 with radiculopathy. Eight patients were males and the others were females, and their ages varied from 28 to 58 years.
The factors influenced their prognosis, such as age, duration of symptoms, severity of symptoms on admission, diameter of canal, and the disc herniation to canal ratio on CT discogra phy were examined.
Results were as follows;
1) All of the patients with radiculopathy were satisfied with the results. And 8 of 10 patients with myelopathy improved after conservative therapy.
2) Age, duration of symptoms, severity of symptoms on admission, and diameter of the canal dian't influenced the prognosis of myelopathy treated with conservative therapy.
3) If the herniation occupied more than 40% of the canal diameter, we could not achieved satisfactory results with conser vative therapy.