Cervical spinal steroid injections

Some of the terms commonly used to describe the condition include herniated disc , prolapsed disc , ruptured disc and slipped disc . Other phenomena that are closely related include disc protrusion , pinched nerves, sciatica , disc disease, disc degeneration, degenerative disc disease , and black disc. The popular term slipped disc is a misnomer, as the intervertebral discs are tightly sandwiched between two vertebrae to which they are attached, and cannot actually "slip", or even get out of place. The disc is actually grown together with the adjacent vertebrae and can be squeezed, stretched and twisted, all in small degrees. It can also be torn, ripped, herniated, and degenerated, but it cannot "slip". [27] Some authors consider that the term "slipped disc" is harmful, as it leads to an incorrect idea of what has occurred and thus of the likely outcome. [28] [29] [30] However, during growth, one vertebral body can slip relative to an adjacent vertebral body, a deformity called spondylolisthesis . [30]

The traditional surgical technique for reduction or elimination of pain from degenerative discs is spinal fusion. It can be done from a posterior approach with screws and rods in the spine and adjacent bone graft or anteriorly with removal of the disc and placement of graph materials in the front. Sometimes surgeons will choose to place implants both in the disc and the screws from a posterior approach. With painful degenerative discs that cannot bear the patient's weight without severe pain, spinal fusion is highly successful in eliminating pain. One of the long-term consequences of disc fusion can be accelerated degeneration of adjacent discs. That is, discs that are degenerating at levels above or below the fusion can be adversely affected, leading to more rapid degeneration of those discs than might have occurred without the adjacent fusion. A newer option used to maintain motion in the degenerative level is cervical disc replacement. As compared to the gold standard of anterior cervical decompression and fusion (ACDF), the disc replacement technology theoretically decreases the risk of wearing out the disc above and below the treated level by preserving motion.

Cervical spinal steroid injections

cervical spinal steroid injections


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