Spinal decompression for neck pain

Spinal decompression surgery reduces pressure on the spinal cord or spinal nerve roots and may reduce neck pain. To relieve the pressure, your health professional may remove:

• Bony growths (osteophytes) and fibrous tissue that are narrowing the spinal canal and pressing on spinal nerve roots.
• Parts of the vertebrae (laminectomy) to enlarge the spinal canal, thus relieving pressure on the spinal nerve roots.
• Disc material (discectomy) from a herniated disc that pushes into the spinal canal.

In some cases, once bone and disc material are removed, the affected bone (vertebrae) parts may be joined together (spinal fusion) to stabilize them.

Surgery is only done to relieve severe symptoms of neck pain caused by pressure on the nerve roots (especially from a herniated disc). This pressure on the nerve roots may also cause arm pain, numbness, or tingling. In these cases, surgery successfully relieves pain 80% to 90% of the time.¹ However, even neck pain caused by pressure on the nerve roots is usually first treated without surgery.²

Citations

1. Nakano KK (2005). Neck pain. In ED Harris Jr et al., eds., Kelley's Textbook of Rheumatology, 7th ed., vol. 1, pp. 537–556. Philadelphia: Elsevier Saunders.

2. Lenz FA (2003). Neck pain. In LR Barker et al., eds., Principles of Ambulatory Medicine, 6th ed., pp. 1049–1056. Philadelphia: Lippincott Williams and Wilkins.