Cervical dural sac compression, if there is no pressure on the nerve, no corresponding symptoms can continue to observe, if the pressure on the nerve caused by corresponding symptoms, the need for surgical treatment, specific classification is as follows:
1. No compression of the nerve: the cervical spine is divided into 7 sections from top to bottom, the dural sac refers to a layer of film outside the nerve, such as a pouch-like structure, inside the pouch is the nerve, and the water component, if the herniated disc only compresses the pouch and does not press on the nerve, there are no corresponding symptoms, and there is no need to carry out the next step of the treatment, and observation can be done.
2. Pressure on the nerve: cause symptoms, such as the appearance of hand pain, foot pain, walking instability, etc., you can try conservative treatment. If the dural sac is pressed, it is usually a spinal cord type of cervical spondylosis. Conservative treatment alone is not effective, and most patients need to be treated by surgery to cure the disease.
Compression of the spinal dural sac can usually be treated with minimally invasive and traditional incision surgeries.
(1) Minimally invasive: Minimally invasive surgery is less damaging, and the main indication for surgery is compression of nerves by a single-segment cervical disc herniation. This surgery can improve the compression symptoms and deal with the effusion, resulting in a significant improvement in the patient’s symptoms.
(2) Conventional incision: When the patient’s level of pathology is complex, such as having multiple stages of cervical disc herniation, or other complications of cervical stenosis. At this time, minimally invasive surgery is difficult to deal with the complexity of the disease and traditional incision surgery is required. Traditional surgery can handle complex and severe lesions with better recovery time and results.
Patients with different symptoms or severity of disease are treated differently. Early treatment should be guided by a physician in choosing the appropriate surgical option.