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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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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author Taylor-Robinson SD
Trovato G
author_facet Taylor-Robinson SD
Trovato G
author_sort Taylor-Robinson SD
collection DOAJ
description 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
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spelling doaj.art-4bc5bc38021e46ab82d6ac92913d60022022-12-21T22:55:10ZengDove Medical PressPatient Preference and Adherence1177-889X2021-11-01Volume 152455245870336Semi-Elective Cervical Disc Replacements for Cervical Myelopathy: A Qualitative StudyTaylor-Robinson SDTrovato GSimon 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 prolapsehttps://www.dovepress.com/semi-elective-cervical-disc-replacements-for-cervical-myelopathy-a-qua-peer-reviewed-fulltext-article-PPAchronic painneurosurgeryoperative choicescervical disc prolapse
spellingShingle Taylor-Robinson SD
Trovato G
Semi-Elective Cervical Disc Replacements for Cervical Myelopathy: A Qualitative Study
Patient Preference and Adherence
chronic pain
neurosurgery
operative choices
cervical disc prolapse
title Semi-Elective Cervical Disc Replacements for Cervical Myelopathy: A Qualitative Study
title_full Semi-Elective Cervical Disc Replacements for Cervical Myelopathy: A Qualitative Study
title_fullStr Semi-Elective Cervical Disc Replacements for Cervical Myelopathy: A Qualitative Study
title_full_unstemmed Semi-Elective Cervical Disc Replacements for Cervical Myelopathy: A Qualitative Study
title_short Semi-Elective Cervical Disc Replacements for Cervical Myelopathy: A Qualitative Study
title_sort semi elective cervical disc replacements for cervical myelopathy a qualitative study
topic chronic pain
neurosurgery
operative choices
cervical disc prolapse
url https://www.dovepress.com/semi-elective-cervical-disc-replacements-for-cervical-myelopathy-a-qua-peer-reviewed-fulltext-article-PPA
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