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Spine
intermediate
X-Type

Cervical Disc Herniation Management

Cervical Spine Disorders

A 45-year-old software engineer presents with 6 weeks of right arm pain radiating from the neck to the thumb and index finger. He has weakness of elbow flexion (4/5) and diminished biceps reflex. Spurling test is positive on the right. MRI shows a right posterolateral C5-6 disc herniation compressing the C6 nerve root. Regarding cervical disc herniation:

Mark each as TRUE or FALSE

A

C5-6 and C6-7 are the most commonly affected levels for cervical disc herniation; the exiting nerve ...

B

Most cervical radiculopathies (75-90%) improve with non-operative treatment including NSAIDs, physic...

C

The C6-7 disc affects the C6 nerve root; surgery is required for all disc herniations; posterior app...

D

Anterior cervical discectomy and fusion (ACDF) is the gold standard surgical treatment for single-le...

E

Cervical myelopathy (spinal cord compression) presents with upper motor neuron signs: hyperreflexia,...

Answer the questions to see explanations

Click T (True) or F (False) for each option