Prospective evaluation of lateral C punctures for cervical Myelography in diagnosing the compressive lesions.

Abstract

It analyzed 100 cases in terms of age, sex, signs and symptoms. The most common symptoms were pain neck, occipital headache and weakness of limbs etc. Local, physical and systematic examinations were carried out and further specialized investigations were conducted. Before myelographic procedure patients were put on anticonvalsant therapy. Myelographic examination was done which revealed 24 negative cases and 76 positive cases. Disc prolaps was seen commonest myelographic diagnosis followed by traumatic compression. The study observed that C4-C5 were commonest level of compression and a good number of patients had compression at multi levels, After the procedure adverse effects were observed as headache, pain over injection site vomiting etc. 76 cases were treated surgically and 24 cases treated conservatively. The confirmation of myelographic findings were made by surgery. It concludes that cervical spine can be best reached and studied mylographically through a lateral C1-12 puncture. Lateral C1-2 puncture cervical mylography pricks up the lesion very accurately