Cervical myelopathy results from compression of the spinal cord in the neck (cervical area of the spine). Symptoms of cervical myelopathy may include problems with fine motor skills, pain or stiffness in the neck, loss of balance, and trouble walking.
Your spine surgeon may recommend cervical spine surgery to relieve neck pain, numbness, tingling and weakness, restore nerve function and stop or prevent abnormal motion in your neck.
Your surgeon does this by removing a disc or a bone and fusing the vertebrae together with a bone graft either in front of or behind the spine.
Cervical spine surgery may be indicated for a variety of spinal neck problems. Generally, surgery may be performed for degenerative disorders, trauma or instability. These conditions may produce pressure on the spinal cord or on the nerves coming from the spine.
Cervical spinal fusion joins two of your vertebrae into a single, stable piece of bone. It’s used in situations where an area of the neck is unstable, or when motion at the affected area causes pain.
ACDF is a type of surgery that’s done to treat a pinched nerve or spinal cord compression.
The surgeon will make the surgical incision at the front of your neck. After making the incision, the disk that’s causing the pressure and any surrounding bone spurs will be removed. Doing this may help relieve the pressure on the nerve or spinal cord.A spinal fusion is then performed to give stability to the area.
The purpose of a laminectomy is to relieve pressure on your spinal cord or nerves. In this procedure, the surgeon makes the incision at the back of your neck.
Once the incision is made, the bony, ridged area at the back of the vertebra (known as the lamina) is removed. Any disks, bone spurs, or ligaments that are causing compression are also removed.
A laminoplasty is an alternative to laminectomy to relieve pressure on the spinal cord and associated nerves. It also involves an incision on the back of your neck.
Instead of removing the lamina, the surgeon creates a door-like hinge instead. They can then use this hinge to open up the lamina, reducing compression on the spinal cord. Metal implants are inserted to help keep this hinge in place.
The advantage of a laminoplasty is that it preserves some range of motion and also allows the surgeon to address multiple areas of compression.
This kind of surgery can treat a pinched nerve in your neck. The surgeon will make the incision at the front of your neck.
During ADR, the surgeon will remove the disk that’s applying pressure to the nerve. They’ll then insert an artificial implant into the space where the disk was previously located. The implant may be all metal or a combination of metal and plastic.
Unlike ACDF, having an ADR surgery allows you to retain some of the flexibility and range of motion of your neck.
speaking, you can expect to spend a day or two in the hospital following your surgery. Exactly how long you’ll need to stay in the hospital will depend on the type of surgery you’ve had.
Often, neck surgeries require only night, whereas lower back surgeries typically require longer stays.
It’s normal to feel pain or discomfort while recovering. Your doctor will likely prescribe medication to help relieve your pain.
Most people can typically walk and eat the day after their surgery.
Neck surgery isn’t the first option for treating neck pain. It’s typically only recommended when less invasive treatments aren’t effective.
There are some types of neck conditions that are more often associated with neck surgery. These include issues like pinched nerves, compression of the spinal cord, and severe neck fractures.
There are several different types of neck surgery, each with a specific purpose. If surgery is recommended for the treatment of your neck condition, be sure to discuss all your options with your doctor.