Các thể lâm sàng của thoát vị đĩa đệm cột sống cổ đối chiếu với hình ảnh cộng hưởng từ

The descriptive and cross-sectioned study aims at identifying various clinical types of cervical disc herniation with the verification of the MRI technique. The study includes 30 patients, admitted at department of neurosurgery,Viet-Duc hospital, in a period from January, 2006 to July, 2007. The sex ratio are approximately equal (53,3 percent versus 46,7 percent). The mean age of 48,33 + or - 11,32 years. The clinical symptoms at presentation are the followings: neck pain with irradiation to the shoulder and arm were 57,7 percent, local neck pain were 54 percent. Root pains occur in 76 percent of cases of median and lateral types respectively. Lateral type of cervical disc herniation resulting in nerve root pressure represents 53 percent of cases; suffer from unilateral sensory and motor disorders. Median and paramedian types of cervical disc herniation with spinal cord pressure were 67 percent of cases; bilateral sensory and motor disorders. In the diagnosis of cervical disc hemiation various types of this disease could be primarily distinguished relying on clinical symptoms, but only the MRI may help to identify exactly each of these types.