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Cervical spinal surgery
Cervical spinal surgery is used to correct the part of the spine in the neck, including problems with the bones (vertebrae), disks, and nerves.
The cervical spine is part of the spine that runs through the neck area. It consists of seven vertebrae and eight pairs of spinal nerves (called C1 to C8). The two most common problems people have with the cervical spine are herniation and stenosis.
For detailed information on those conditions see:
The specific cervical spine surgery depends on what is causing the problem. The surgery is done while you are under general anesthesia (unconscious and pain-free).
If there is a single herniated disk, then the disk may simply be removed through a surgical cut that is made in either the front or the back of the body.
If more than one disk needs to be removed, the spine usually needs to be fused to keep it from becoming unstable. See: Spinal fusion
Spinal stenosis is a more difficult problem to treat and generally requires more extensive surgery. Pressure needs to be taken off the spinal nerves and cord. This can be done through a surgical cut in the front or the back of the body. If removing the bone causes the spine to become unstable, spinal fusion may be needed.
Cervical spine surgery is generally used when rest, medication, and physical therapy do not work, and the pain and weakness gets worse.
The health care provider should give you solid information on the expected course of your neck pain and self-care options before discussing surgery. Make sure you ask your doctor about the pros and cons of surgery and how long symptom relief will last. Surgery does not always improve outcome and, in some cases, can even make it worse.
You should always try all possible non-surgical treatments before opting for surgery. When appropriate, surgery can provide great relief for patients whose pain does not go away with other treatments. There are many types of procedures available. Ask your doctor which, if any, is best for you.
Surgery may also be performed if there are signs that the spinal cord is being compressed.
Carragee EJ, Hurwitz EL, et al. Treatment of neck pain: injections and surgical interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine. 2008:33 (4 Suppl): S153-69.
Hurwitz EL, Carragee EJ, et al. Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine. 2008:33 (4 Suppl):S123-52.