Role of Magnetic Resonance Imaging in the Diagnosis of Cervical Disc Herniation: Comparison with Peroperative Findings

Abstract

to evaluate the role of Magnetic Resonance Imaging in the diagnosis of cervical disc herniation. A total of 40 patients having clinical features of cervical disc herniation with neck pain referred to the Department of Radiology & Imaging for MRI of their cervical spine were included in the study. At first all the patients were evaluated by detail history and clinical examination with special emphasis on clinical features. Then subsequently MRI of cervical spine was performed in all cases. The MRI report was checked by a competent radiologist of the department of Radiology and imaging DMCH. Among these 40 patients 11 were operated in department of neurosurgery, DMCH and 29 were operated in spine surgery unit, Department of Orthopaedic, BSMMU, Dhaka. The MRI and peroperative findings of these 40 patients were analyzed for the study. MRI findings correlated well in most of the cases with preoperative findings. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of MRI in the diagnosis of cervical disc herniation were 94.12%, 83.33%, 96.97%, 71.43% and 92.5% respectively. Therefore it can be concluded that MRI may be used as a reliable tool with which we can assess the level, type and position of cervical disc herniation and can plan the subsequent appropriate management in majority of cases.

Association of History Taking and Accuracy of the Interpretation of Cervical and Lumbar Magnetic Resonance Imaging

“…Spinal stenosis following spinal disk herniation is one of the main causes of neurosurgeon surgeries at high ages and is an important etiologic factor in the occurrence of pain and disability in these individuals [20], [47], [48]. Morshed et al, in a study with a sample of 48 patients, reported about six cases of stenosis induced by lumbar disk herniation, of which one was partial stenosis and six cases were complete stenosis [49]. In our study, the highest prevalence of stenosis was in L4-L5 lumbar levels, which accounts for 38 cases (61.15%) of all stenosis cases.…”

The Cervical Sequestrated Disc Fragment Presenting as Mass Lesion: Case Report and Review of the Literature

“…In the cervical region, it occurs more commonly in the postrolateral (2). The herniated disc can take the form of protrusion, extrusion and sequestration (2). When disc fragment is connected to intervertebral disc and contain Annulus, not connected to intervertebral disc and only contain posterior longitudinal ligament (PLL) and when is free within spinal canal called protrusion, extrusion and sequestration, respectively (2).…”

“…Disc herniation is defined as the prolapsed of material disc into the spinal canal (2). In the cervical region, it occurs more commonly in the postrolateral (2). The herniated disc can take the form of protrusion, extrusion and sequestration (2).…”

“…The herniated disc can take the form of protrusion, extrusion and sequestration (2). When disc fragment is connected to intervertebral disc and contain Annulus, not connected to intervertebral disc and only contain posterior longitudinal ligament (PLL) and when is free within spinal canal called protrusion, extrusion and sequestration, respectively (2). The sequestrated disc herniation can migrate rostral, caudal and lateral direction commonly and to posterior, in rare cases (1,3).…”

“…Disc herniation is defined as the prolapsed of material disc into the spinal canal (2). In the cervical region, it occurs more commonly in the postrolateral (2).…”