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Romanian Neurosurgery

The Journal of Romanian Society of Neurosurgery

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Three-level cervical disc herniation

Case report and review of the literature

Andrei St. Iencean
  • Corresponding author
  • PhD Student, “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Neurosurgery, “N. Oblu” Emergency Hospital Iasi
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Ion Poeata
  • “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Neurosurgery, “N. Oblu” Emergency Hospital Iasi
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2015-09-19 | DOI: https://doi.org/10.1515/romneu-2015-0041


Multilevel cervical degenerative disc disease is well known in the cervical spine pathology, with radicular syndromes or cervical myelopathy. One or two level cervical herniated disc is common in adult and multilevel cervical degenerative disc herniation is common in the elderly, with spinal stenosis, and have the same cause: the gradual degeneration of the disc. We report the case of a patient with two level cervical disc herniation (C4 – C5 and C5 – C6) treated by anterior cervical microdiscectomy both levels and fusion at C5 – C6; after five years the patient returned with left C7 radiculopathy and MRI provided the image of a left C6 – C7 disc herniation, he underwent an anterior microsurgical discectomy with rapid relief of symptoms. Three-level cervical herniated disc are rare in adults, and the anterior microdiscectomy with or without fusion solve this pathology.

Keywords: anterior cervical microdiscectomy; cervical radiculopathy; surgery in different time points; three-level cervical disc herniation


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About the article

Published Online: 2015-09-19

Published in Print: 2015-09-01

Citation Information: Romanian Neurosurgery, ISSN (Online) 2344-4959, ISSN (Print) 1220-8841, DOI: https://doi.org/10.1515/romneu-2015-0041.

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© Andrei St. Iencean et al.. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License. BY-NC-ND 3.0

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