Semi-Elective Cervical Disc Replacements for Cervical Myelopathy: A Qualitative Study

Simon D Taylor-Robinson,1 Guglielmo Trovato2 1Department of Surgery and Cancer, Imperial College London, London, UK; 2Department of Medicine, University of Catania, Catania, ItalyCorrespondence: Simon D Taylor-RobinsonDepartment of Surgery and Cancer, Imperial College London, South Wharf Street, Lon...

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Bibliographic Details
Main Authors: Taylor-Robinson SD, Trovato G
Format: Article
Language:English
Published: Dove Medical Press 2021-11-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/semi-elective-cervical-disc-replacements-for-cervical-myelopathy-a-qua-peer-reviewed-fulltext-article-PPA
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Summary:Simon D Taylor-Robinson,1 Guglielmo Trovato2 1Department of Surgery and Cancer, Imperial College London, London, UK; 2Department of Medicine, University of Catania, Catania, ItalyCorrespondence: Simon D Taylor-RobinsonDepartment of Surgery and Cancer, Imperial College London, South Wharf Street, London, W2 !NY, UKEmail Str338333@gmail.comAbstract: Cervical disc prolapse can be accompanied by severe pain, numbness, paraesthesiae and muscle weakness. The choice lies between a conservative approach with physiotherapy and pain modulating drugs, such as gabapentin, or a more active surgical approach, ranging from nerve decompression through vertebral foraminotomy through to cervical disc replacement. We relate the experience of a medically qualified patient in having disc prolapse at three cervical levels and what it was like to experience a lonely and difficult post-surgical recovery. Despite this, the patient would still choose active surgical decompression over a non-interventional approach. The reasons for this are discussed from the patient perspective, of which there is little directly in the medical literature.Keywords: chronic pain, neurosurgery, operative choices, cervical disc prolapse
ISSN:1177-889X