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).
The Sacroiliac joints are located at the very bottom of the back, one either side of the spine and help make up the rear part of the pelvic girdle. SIJ dysfunction is a term which is commonly used when talking about sacroiliac injuries. This dysfunction refers to either hypo or hyper mobility (low or high respectively). In other words, the joint can become 'locked' or be too mobile. This leads to problems with surrounding tissues such as ligaments and muscles causing a wide range of symptoms throughout the lower back and buttocks. Sacroiliac joint pain can occur from four different causes; traumatic, biomechanical, hormonal and inflammatory joint disease.