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논문 기본 정보

자료유형
학술저널
저자정보
Sunho Kim (Department of Neurosurgery The Armed Forces Capital Hospital Seongnam Korea) 황성환 (국군수도병원) Byung-Kyu Cho (Department of Neurosurgery Armed Forces Capital Hospital Seongnam Korea) 윤성훈 (국군수도병원) 윤준호 (국군수도병원)
저널정보
대한신경손상학회 Korean Journal of Neurotrauma Korean Journal of Neurotrauma Vol.17 No.1
발행연도
2021.1
수록면
81 - 87 (7page)

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C2–3 disc herniation is rare and a defnitive treatment of choice has not been established. The purpose of this case report is to suggest posterior approach as one of the best options. A 49-year-old man visited our clinic with a 7-year history of neck pain and occipital headache and a 2-month history of right arm pain. C2–3 intervertebral disc herniation of the central type was diagnosed on magnetic resonance imaging (MRI), and surgery was performed, including C1 laminectomy, C2–3 laminoplasty, and C2–3 posterior fxation. The posterior approach was used because the patient's neck was difcult to operate anteriorly. Afer 3 months postoperatively, MRI showed widened cerebrospinal fluid space at the C2–3 level. The visual analogue scale score for pain improved in the occipital area and right arm. However, the untouched protruded central disc, subjective weakness in right hand grasping, and numbness persisted. In conclusion, this case highlights posterior decompression and fxation as a good treatment of choice for decompression at the C2–3 level disc herniation, from where it is difcult to remove compressive lesions directly via the anterior corridor

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