Neck Hernia (Cervical Disc Hernia)

Description: A cervical herniated disc is a condition in which the outer layer (annulus fibrosus) of the intervertebral discs between the cervical (neck) vertebrae wears away and the inner layer (nucleus pulposus) protrudes outwards. This protrusion can cause various symptoms by pressing on the surrounding nerve roots or spinal cord.

Reasons:

• Aging Over time, the discs lose water and elasticity, which increases the risk of herniation.
• Overload Heavy lifting or incorrect posture can lead to damage to the disk.
• Trauma: Sudden movements, accidents or falls can cause a herniated disc in the neck.
• Genetic Factors: The risk is higher in individuals with a family history.

Symptoms:

• Neck and shoulder pain
• Pain, numbness or tingling in the legs or arms
• Dizziness or headache
• In rare cases, urinary or fecal control problems

Diagnostic Methods

• Physical Examination: Assessment of symptoms and physical examination.
• Imaging: An MRI or CT scan is used to see the condition of the discs and the effect on the nerve roots.

Microsurgical Treatment

Microsurgical treatment is the FIRST treatment option if the hernia is large in size, radiologically occludes the nerve canal and the patient has severe symptoms and complaints. I do not find it right to apply "non-surgical hernia treatment" methods in such patients. Microsurgery is a surgical technique performed under a microscope and using special instruments. In the treatment of cervical disc herniation, microsurgery aims to remove the herniated disc tissue. The operation takes approximately 1 hour. The patient can walk and mobilize on the day of surgery. The patient is discharged the day after the surgery.

Advantages

• Minimal Invasiveness: It is performed through an incision of about 2 cm, which shortens the recovery time and reduces the risk of complications.
• Less Tissue Damage: Less damage to surrounding tissues.
• Fast Recovery: Patients can usually return to normal activities sooner.

It is performed under general anesthesia. Under a microscope, the surgeon reaches the target area of the herniated disc and carefully removes the protruding tissue. A tiny structure made of titanium is then inserted into the space created by the removed hernia. This prevents the formation of new hernias and preserves the normal anatomy of the spine.

Recovery Process: After microsurgery, patients can usually return to normal activities within a few days. Pain management and physical therapy are an important part of the recovery process.