Dr Adriaan Liebenberg My Spine Cervical | Page 21

CHAPTER 3 CERVICAL SLIPPED DISC (ALSO CALLED HERIATED OR PROLAPSED DISC) What is it? The spine consists of a series of vertebrae that are stacked on top of one another from the neck to the pelvis. These vertebrae are connected and kept in the correct position by the discs that are between the vertebrae and also the facet joints that are located on the side of the vertebral bodies which interlock with one another. There are also supporting ligaments and tendons. The discs between the two adjacent vertebrae are composed of a central, soft, jelly-like substance called the nucleus pulposus and an outer, tougher fibrous part called the annulus fibrosus. In some cases the tough annulus fibrosus may tear, leaving a defect in the strong outer layer. A bit of the nucleus pulposus can then push through this tear and end up in the spinal canal and press against the nerves in the spinal canal. This can be caused by a traumatic injury, but is usually due to an inborn predisposition towards weak discs. When a part of the nucleus pulposus push- es through (herniates) the annulus fibrosus it is called a slipped (herniated) disc. 21