Background: Intervertebral disc herniations in cervical segment of the spine are very common due to mobility and nonphysiologcal postures. Often there are two or more discs involved. After rupture of the fibrous ring, nucleus is herniated posteriorly and causing compression to neural elements, spinal cord and nerves. Objective: To evaluate one year follow-up radiologic/clinical outcomes of patients who underwent cervical spine surgery with or without implants in a single academic institution. Methods: The study included 110 (58/52.7% male and 52/47.3% female) patients with cervical disc herniations who were surgically treated at the Neurosurgery clinic of CCUS in a five-year period. Stability, postoperative curvature, arthrodesis, implants, and changes in adjacent segments were radiographically analyzed. In the outcome assessment, functional outcome and patient satisfaction were analyzed using the Pain Self-Evaluation Scale (VAS), Prolo functional and economic score, and Whites classification of treatment outcomes. Results: The dominant involved levels were C5-C6 (58%) and C4-C5 (28%) with a ventrolateral approach performed in 90% of patients. The largest representation is hard dorsolateral discs (n = 77). In the group of patients with placed implant, hard discs were present in 96 (90%) cases (p
Key words: Cervical disc herniation, surgical treatment, microsurgical treatment, implant, VAS, Prolo functional status
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