Tratamiento y operación de hernia discal cervical en Madrid

Which is a cervical disc herniation?

Herniated disc is an increasingly common problem in our society. Specifically, around 20-33% of spinal column pathologies affect the cervical region.

Arthroscopy herniated disc operation

A herniated disc is the displacement of the internal material of the disc towards the outside. due to rupture of the annulus fibrosus, which may cause compression of a nerve root or the spinal canal.

In the case of cervical disc herniation, it occurs in the neck region of the spine between the third (C3) and seventh vertebra (C7).

Complete information about cervical disc herniation

The vertebral disc is a cartilaginous structure that is located between the vertebrae.. This structure fulfills essential functions, such as shock absorption and load distribution, and also serves as a connection between two adjacent vertebral bodies.

He Intervertebral disc is made up of two fundamental parts:

  • external fibrous ring: makes up the external part of the disc and is composed of a resistant fibrous connective tissue. Its main function is to provide stability and protection to the nucleus pulposus.
  • Nucleus pulposus: It is located in the central part of the disc and has a gelatinous consistency that allows it to absorb impacts and maintain the flexibility of the spine.

Cervical disc herniation is a condition that can have multiple causes, the most common of which is the natural aging process of the body. From the age of 20, the annulus fibrosus that surrounds the cervical invertebral disc begins to undergo a process of gradual degeneration. During this process, fissures may develop, as well as protrusions and eventual herniated discs of the nucleus pulposus. This degeneration is an important factor in the appearance of neurological problems and osteoarthritis of the cervical spine.

Cervical disc herniation It occurs when the nucleus pulposus moves toward the back of the disc. In many cases, this happens due to annulus fibrosus rupture, giving rise to the following situations:

  • Disc protrusion: The ring rupture is partial and a contained deformation or disc protrusion occurs.
  • Complete herniated disc: The annulus fibrosus ruptures completely and the nucleus pulposus comes out, where the spinal cord and nerve roots that go to the neck, arms and hands are located.

There are various types of cervical disc herniations, among the most common are:

  • Cervical hernia C5-C6: This variant of hernia can present symptoms such as weakness in the biceps and extensor muscles of the wrists. Recovery after surgery to treat a C5-C6 cervical herniated disc is not painful, and the length of the recovery process will depend on the severity of the cervical herniation.
  • Cervical hernia C3-C4: The most common symptoms of a hernia at this level can include muscle contractions, pain, and difficulty moving in the neck, arms, and shoulders.
  • Cervical hernia C6-C7: This type of cervical hernia is one of the most common among patients. Common symptoms that may occur include difficulty moving the elbow and fingers.

The intensity or severity of cervical disc herniation symptoms largely depends on the compression on the nerve roots and/or spinal cord, which is the trigger for cervical pain. The main symptoms and conditions associated with this condition include:

  • radiculopathy: manifests as cervicobrachialgia, cervicalgia or pain in the neck, which radiates to the shoulder, arm and fingers. This pain is constant and can cause nocturnal disturbances, tingling in the arm and/or hand (paresthesia), decreased sensitivity (hypoesthesia) and dizziness.
  • Myelopathy: Compression of the spinal cord due to a herniated disc can result in myelopathy. Symptoms that may occur with this condition include: alteration of gait, sphincter involvement, or abnormalities in the sensitivity and strength of the lower and/or upper extremities.

It is essential that patients recognize these symptoms and conditions early to seek appropriate medical attention, and thus effectively relieve pain.

The diagnosis of cervical disc herniation must be rigorous and requires a detailed clinical history. that includes a thorough evaluation of the patient along with the analysis of complementary tests. Key diagnostic tests include:

  • Magnetic resonance imaging (MRI): MRI is an essential tool to accurately identify the presence of a cervical disc herniation. It is currently considered the most effective test for detecting this condition, as it provides clear images of nerve root impingement and other anatomical details.
  • Radiography (Lateral and anteroposterior projections): These x-rays allow us to analyze the degenerative state of the intervertebral discs and detect possible traumatic pathologies, such as fractures or dislocations.
  • Electromyogram (EMG): This study is useful to measure the degree of involvement in the compressed area of the spinal cord. This test helps determine the function of the muscles and nerves in the affected region, providing valuable information for diagnosis.

It is important to remember that an accurate diagnosis is essential for effective treatment. These tests are key tools to correctly evaluate each patient's condition and develop an appropriate medical care plan.

There are different approaches to treating cervical disc herniations, encompassing different approaches.

  • Arthrodesis: This treatment is the surgical approach traditional for cervical disc herniations. This procedure involves the fixation of segments in the cervical spine, which, unfortunately, can cause loss of mobility, as well as new hernias and the appearance of cervical osteoarthritis in the short and medium term. Furthermore, recovery after arthrodesis is slow and requires immobilization.

Doctor Elgeadi's team avoids the complications of arthrodesis by performing approaches such as arthroplasty or cervical disc prosthesis. In this way, the physiological movement of the cervical spine is not affected.

  • Cervical Disc Arthroplasty: This herniated disc operation consists of removing the disc and the herniation that compresses the nerve root and/or spinal cord. Later, it is replaced by a disc prosthesis. One of the main objectives of this surgery is to avoid limitations in neck movement after surgery. One of the outstanding characteristics of this technique is its minimally invasive nature, which only requires a small approach of approximately 2 cm in the neck, following the marks of the cervical flexure. Patients undergoing arthroplasty can be discharged 24 hours after the intervention and does not require any immobilization with a collar. Likewise, neck mobility will be allowed from awakening from anesthesia without restrictions.

Cervical arthroplasty or prosthesis is the most effective surgical technique, less aggressive and with greater benefits for patients who have a cervical disc herniation at one or more levels, since their cervical discs are strengthened.

Prof. Dr. Elgeadi's team is made up of leading specialists in the treatment of cervical disc herniation in Madrid. Thanks to their innovative approach, they offer patients the possibility of a rapid recovery and the ability to quickly return to their daily activities.

Our expert traumatologists in cervical herniated disc surgery in Madrid perform surgical interventions on the intervertebral disc through arthroplasty, a minimally invasive surgery, which allows patients suffering from this pathology to recover quality of life.

When you suffer from a hernia, there are certain precautions and actions that should be avoided to prevent complications and reduce discomfort. Among them it is possible to highlight:

  • Don't ignore the symptoms: Ignoring the symptoms of a hernia, such as pain, weakness or numbness in the affected area, can worsen the condition over time. These symptoms are signs that something is wrong in the cervical spine and should be evaluated by a health professional.
  • Do not carry heavy objects or strain your neck: It is important to avoid sudden movements, straining the neck and lifting heavy objects. These activities can increase pressure on the cervical spine and aggravate a herniated disc.
  • Do not delay medical care: It is important not to postpone the consultation with a doctor. Early diagnosis and proper treatment are key to recovery.

Failure to adequately address a herniated cervical disc can have serious consequences for the patient's health and quality of life. Among the possible complications it is possible to find:

  • Increased pain: When hernias are not treated in time they tend to worsen, which can result in chronic pain.
  • Neurological complications: A herniated disc can put pressure on the nerve roots or spinal cord, which can cause symptoms such as numbness, tingling, muscle weakness, and difficulty moving your arms.
  • Long term damage: The constant pressure on the nerve structures and cervical spine can cause long-term damage if not addressed timely.
  • Decreased quality of life: The pain and limitations caused by the hernia can significantly interfere with patients' quality of life, affecting their daily activities and overall well-being.
  • Greater difficulty in treatment: Over time, treatment of an untreated cervical disc herniation can become more complicated, which may require more invasive procedures or more extensive surgery.

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Important announcement

The ICAC, now at Teknon in Barcelona

This month of June, We have begun our collaboration with the prestigious Barcelona clinic TMEH to offer spine services at the famous Teknon Medical Center, one of the leading healthcare hospitals in Europe. Thanks to this alliance, we provide a comprehensive and specialized approach with the best solutions for those suffering from back problems.

The ICAC human team, known for being at the vanguard of innovation in traumatology, now brings his talent and advanced ultra-minimally invasive surgery techniques to Barcelona.

This collaboration with TMEH at Teknon Medical Center not only allows us to treat more patients more effectively, but also reinforces our commitment to innovation and excellence in healthcare.

We are excited to be able to offer these services in one of the most important cities in Europe and continue leading the field of traumatology and, in this specific case, in the treatment of the spine.