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Cervical Disc Herniation, Cervical Radiculopathy and Cervical Myelopathy

Cervical Disc Herniation
Cervical Disc Herniation, Cervical Radiculopathy and Cervical Myelopathy

Washington University spinal neurosurgeons specialize in the treatment of acute and chronic disorders of the cervical spine. Whether rare or commonplace conditions are present, our fellowship-trained and board-certified surgeons are highly qualified to treat diseases of the cervical spine. They work with neurologists, physiatrists and pain specialists to develop treatments tailored specifically for each patient. 

As educators and scientists, our physicians also are actively engaged in clinical and basic science research designed to improve the quality and safety of the care they deliver to patients. Techniques developed at Washington University are on the leading edge of treatments offered to patients across the nation.


Conditions & Treatments

Cervical disc herniation (disc bulging/ruptured disc) is a common disorder of the spine that can lead to neck and/or arm pain. The herniated disc or displaced disc can compress a nerve exiting the spine (branch of the spinal cord), the spinal cord itself or both. 

When disc herniation leads to compression of only an exiting nerve, this condition is referred to as radiculopathy. When disc herniation leads to compression of the spinal cord, this compression may lead to a group of symptoms referred to as myelopathy. Sometimes both the exiting nerves and spinal cord are affected, leading to a condition referred to as myeloradiculopathy. 

In most cases, the symptoms associated with cervical disc herniations can be treated nonoperatively. However, disc herniations that lead to loss or altered function, such as weakness or loss of sensation, may require surgical intervention. In these cases, our surgeons routinely perform simple and complex procedures on the cervical spine, including

  • Foraminotomy
  • Discectomy
  • Laminectomy
  • Fusion
  • Artificial disc replacement
  • Anterior cervical discectomy and fusion (ACDF)
  • Anterior cervical arthroplasty (artificial cervical disc)
  • Cervical disc replacement

The specific treatments offered vary based on each patient’s anatomy, symptoms and medical history. In cases for which surgery is not indicated, our surgeons work closely with physiatrists, occupational/physical therapists and pain specialists to help treat pain and related symptoms.

Faculty

Highlights

On average, 900 cervical patients are seen annually.