Cervical Spine Surgery In New Jersey

Neck pain and nerve-related symptoms that affect the shoulders, arms, and hands can make everyday activities difficult and negatively impact quality of life. When symptoms fail to improve with conservative care, cervical spine surgery may offer an effective path forward toward reduced pain, restored mobility, and improved daily function.

At Modern Orthopaedics of New Jersey, our orthopedic spine specialist focuses on minimally invasive cervical spine procedures and creates personalized treatment plans tailored to the unique anatomy, symptoms, and mobility goals of each patient. Schedule a consultation with Dr. Pyun today to learn if you are a candidate for cervical spine surgery and discover treatment options designed to meet your individual needs.

Types Of Cervical Spine Surgeries We Offer

The cervical spine, commonly known as the neck, is made up of seven small vertebrae (C1-C7) that provide support for the head, protect the spinal cord, and allow for a wide range of motion. Intervertebral discs between the cervical vertebrae absorb shocks and enable flexibility of movement. Nerves that branch out from the spinal cord through openings between the cervical vertebrae carry signals to and from the shoulders, arms, and hands.

When the vertebrae, discs, or other structures associated with the cervical spine become injured, lose stability, degenerate, or are otherwise damaged, nerve compression may occur, resulting in symptoms such as pain, tingling, numbness, or weakness in the upper extremities. Depending on the location, severity, and underlying cause of the issue, our fellowship-trained orthopedic spine surgeon may recommend one of the following procedures:

Anterior Cervical Discectomy Fusion

Anterior cervical discectomy fusion (ACDF) surgery relieves disc-related nerve compression while also stabilizing the affected vertebrae. The procedure is commonly recommended for patients experiencing severe symptoms caused by disc herniation, degenerative disc disease (DDD), or other disc-related problems.

During ACDF surgery, the damaged disc is removed, and a bone graft is placed to allow the affected vertebrae to gradually fuse together. Surgical hardware, such as a plate and screws will be used to improve spinal alignment and stability.

Posterior Cervical Laminoplasty

Posterior cervical laminoplasty relieves pressure caused by spinal stenosis or other conditions that narrow the spinal canal and compress the spinal cord in the cervical region of the spine.

During a posterior cervical laminoplasty procedure, the surgeon reshapes the lamina – the protective bony arch forming the back of each vertebra – to enlarge the spinal canal while still preserving the stability of the spine.

Posterior Cervical Laminectomy and Fusion

Like laminoplasty, posterior cervical laminectomy relieves nerve compression in the neck caused by spinal stenosis, bone spurs, or other conditions that place pressure on the spinal cord and nearby nerve roots.

Instead of reshaping the lamina, the surgeon removes part or all of it to create more space for the spinal cord and nerves.  Surgical hardware, such as screws and rods will be used to improve spinal alignment and stability.  Posterior cervical laminectomy and fusion surgery can help relieve pain, numbness, or weakness in the arms and hands.

Cervical Disc Replacement

Cervical disc replacement surgery replaces a severely damaged intervertebral disc with a specialized prosthesis that allows the neck to retain flexibility. For appropriately selected patients, the procedure can offer an excellent alternative to fusion surgery that doesn’t increase stress on the adjacent discs.

Cervical Corpectomy

Cervical corpectomy is typically considered only in cases where nerve compression symptoms are severe and haven’t improved with less invasive approaches.

During the procedure, the surgeon removes one or more vertebral bodies – the thick portion of bone at the front of each vertebra – along with their associated intervertebral discs. These structures are replaced with a bone graft or cage and secured with surgical hardware to stabilize the cervical spine and help maintain proper alignment.

What To Expect From Surgery

Undergoing cervical spine surgery is a significant decision, and knowing what to expect can help you feel more confident and prepared. Leading up to surgery day, Dr. Pyun will work closely with you to ensure that you have a thorough understanding of the procedure and how to properly prepare for it.

While the details may vary based on the procedure and the specifics of your case, a general overview of what to expect before, during, and after cervical spine surgery is provided below:

Before Surgery

• A comprehensive consultation is conducted to review your medical history, symptoms, and treatment goals.
• A personalized surgical plan is tailored to your unique anatomy and needs.
• Pre-operative preparations may include lab tests, medication adjustments, and arrangements for at-home recovery.

During Surgery

• Cervical spine surgery is performed under general anesthesia at one of our affiliated hospitals or surgical centers.
• The length of the surgery depends on the type of procedure.

After Surgery

• Most patients are able to return home on the same day as cervical spine surgery, but an overnight stay at the hospital may be indicated in some cases.
• Clear instructions will be provided for pain management, wound care, and activity guidelines.
• Physical therapy and an at-home exercise regimen are an essential part of the recovery and rehabilitation process.
• Recovery times range from a few weeks to a few months, depending on the type of procedure as well as the age and overall health of the patient.