Abstract | STUDY DESIGN: Case report and review of the literature. OBJECTIVE: SUMMARY OF BACKGROUND DATA: METHODS: Clinical history, physical examination, and radiographic findings of the patient were described. Anterior cervical discectomy at the C3/C4 level and interbody fusion with a Caspar plate-screw system for fixation, were performed. RESULTS: A favorable surgical outcome was obtained. The Brown-Sequard syndrome improved and the patient regained full muscle power at a 3-months follow-up. CONCLUSION: Cervical intradural disc herniation after SMT is rare and most often cause Brown-Sequard syndrome. Definite diagnosis and prompt surgery usually achieves a satisfactory outcome. Anterior discectomy with interbody fusion is recommended. The OPLL associated with degenerative disc reminds us of the increased risk of intradural disc herniation. Those high-risk groups should be more cautious with spinal manipulation therapy due to its serious sequelae.
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Authors | Jung-Hao Hsieh, Chieh-Tsai Wu, Shih-Tseng Lee |
Journal | Spine
(Spine (Phila Pa 1976))
Vol. 35
Issue 5
Pg. E149-51
(Mar 01 2010)
ISSN: 1528-1159 [Electronic] United States |
PMID | 20190620
(Publication Type: Case Reports, Journal Article)
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Topics |
- Brown-Sequard Syndrome
(diagnosis, etiology, surgery)
- Cervical Vertebrae
- Diskectomy
- Female
- Humans
- Intervertebral Disc Displacement
(complications, diagnosis, surgery)
- Manipulation, Spinal
(adverse effects)
- Middle Aged
- Ossification of Posterior Longitudinal Ligament
(complications, diagnostic imaging)
- Radiography
- Spinal Fusion
- Treatment Outcome
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