tailieunhanh - The changes in degree of nerve compression on magnetic resonance imaging in patients suffering from cervical disc herniation treated with cervical traction collar in combination with conservative treatment

To study the changes in degree of nerve compression on MRI in patients suffering from cervical disc herniation treated with cervical traction collar in combination with conservative treatment. | Journal of military pharmaco-medicine n08-2018 THE CHANGES IN DEGREE OF NERVE COMPRESSION ON MAGNETIC RESONANCE IMAGING IN PATIENTS SUFFERING FROM CERVICAL DISC HERNIATION TREATED WITH CERVICAL TRACTION COLLAR IN COMBINATION WITH CONSERVATIVE TREATMENT Do Danh Thang1; Nguyen Van Chuong2; Nhu Dinh Son2 SUMMARY Objectives: To study the changes in degree of nerve compression on MRI in patients suffering from cervical disc herniation treated with cervical traction collar in combination with conservative treatment. Subjects and methods: A prospective, cross-sectional study with control group was conducted on 99 patients, of which 54 patients enrolled in the study group and 45 patients in the control group. Results: - After 2 weeks of treatment: The average anteroposterior compression ratio increased (p = ) while the average degree of compression decreased (p = ) in comparison with pretreatment. There was no difference between treatment group and the control one after two weeks of treatment in terms of MRI results - After 6 months of treatment: The degree of compression decreased, while Torg-ratio and anteroposterior increased compared to pre-treatment. These changes were statistically significant, except for the change in SSI. Conclusion: The treatment of cervical disc herniation by cervical traction collar in combination with conservative treatment proved to be effective in decreasing the degree of nerve compression, which was shown by the results of MRI. * Keywords: Cervical disc herniation; Nerve compression; MRI; Cervical traction collar; Conservative treatment. INTRODUCTION Spinal disc herniation is a fairly common disease, with the most incident one is lumbar disc herniation, followed by cervical disc herniation [4, 6]. Cervical spondylotic myelopathy is a common degenerative disease associated with spinal stenosis in the elderly. Spinal stenosis can be caused by a variety of factors, including disc herniation or swelling, osteophytes and ossification

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