Abstract IT IS THE purpose of this paper to discuss briefly the diagnosis of the ruptured intervertebral disk in the cervical region and to correlate the clinical aspects of the syndrome with the pathologic-anatomic changes responsible. It is hoped that the report of this series of cases may contribute in some measure to the excellent reports that have been published about this clinical entity. The ruptured cervical disk as a neurosurgical problem is nothing new, and there are numerous articles dating as far back as 1928 that deal with the ailment. In Stookey's work1 the gross anatomic foundation of the clinical syndrome is clearly explained. His division into three clinical varieties based on the location of the intraspinal mass not only simplifies the conception of the condition but seems the only rational way of classification. Stookey's group of 7 cases includes 6 cases of cord compression of one or both References 1. Stookey, B.: Compression of the Spinal Cord Due to Extradural Cervical Chordomas , Arch. Neurol. & Psychiat. 20:275 ( (Aug.) ) 1928. 2. Michelsen, J. J., and Mixter, W. J.: Pain and Disability of Shoulder and Arm Due to Herniation of the Nucleus Pulposus of Cervical Intervertebral Disks , New England J. Med. 231:279 ( (Aug. 24) ) 1944. 3. Semmes, R. E., and Murphey, F.: The Syndrome of Unilateral Rupture of the Sixth Cervical Disk , J. A. M. A. 121:1209 ( (April 10) ) 1943. 4. Spurling, R. G., and Scoville, W. B.: Lateral Rupture of the Cervical Intervertebral Disks: Common Cause of Shoulder and Arm Pain , Surg., Gynec. & Obst. 78:350 ( (April) ) 1944. 5. Bucy, P. C., and Chenault, H.: Compression of Seventh Cervical Nerve Root by Herniation of Intervertebral Disk , J. A. M. A. 126:26 ( (Sept. 2) ) 1944. 6. Foerster, O.: The Dermatomes in Man , Brain 56:1 ( (March) ) 1933. 7. Stookey reported 6 cases of cord compressoin, Michelsen and Mixter 1 case of cord compression and the present series 4 cases of cord compression. 8. A complete follow-up is not given, as the interval of time after operation has not been sufficient in all the cases listed.
Archives of Surgery – American Medical Association
Published: Mar 1, 1947