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A cervical laminectomy (may be combined with an anterior approach) is sometimes performed when acute cervical disc herniation causes central cord syndrome or in cervical disc herniations refractory to conservative measures.  Studies have shown that an anterior discectomy with fusion is the recommended procedure for central or anterolateral soft disc herniation, while a posterior laminotomy-foraminotomy may be considered when technical limitations for anterior access exist (., short thick neck) or when the individual has had prior surgery at the same level (Windsor, 2006).

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    Sij corticosteroid injection

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    sij corticosteroid injection