European Spine Journal (2018) 27:1207–1208 https://doi.org/10.1007/s00586-018-5610-4 RE VIE WER ’S COMMENT Expert’s Comment concerning Grand Rounds case entitled “Hirayama disease” by D. C. Kieser, P. J. Cox, S. C. J. Kieser (Eur Spine J; 2018: doi:10.1007/s00586‑018‑5545‑9) Takeo Furuya Received: 2 April 2018 / Accepted: 12 April 2018 / Published online: 20 April 2018 © Springer-Verlag GmbH Germany, part of Springer Nature 2018 this paper. As the authors discussed in the paper, there is no doubt that conservative management is the first-line treat - ment of choice, and that it has shown excellent results with a successful arrest of disease progression in many patients and occasional reversal of signs and symptoms. I would like to add information regarding the paper  that the authors cited (reference 5 in this report). Tashiro et al. reported the positive effects of cervical collar immobilization. They also reported the efficacy of surgical treatment with various sur - gical techniques in 41 cases to restrict the forward flexion of the cervical spine or to permit the dura mater to relax. They concluded that all these techniques showed favorable therapeutic effects. The discussion of the surgical indications and the surgi- This is a well-written case report and literature review cal
European Spine Journal – Springer Journals
Published: Apr 20, 2018
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