MR-guided radiotherapy
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Posterior cervical decompression
Surgery for neck pain without fusion. Also known as a microdiscectomy.
What is posterior cervical decompression?
Part of the bone is removed from the back of the spinal column in your neck to relieve pressure caused by the spinal stenosis. Cervical spinal stenosis is similar to the stenosis in the lower back and can also cause weakness/numbness or pain in your arms and legs.
Cervical procedures can be performed through the front of the neck (anterior). or from the back of the neck (posterior). Your surgeon will choose which approach is best suited to your condition.
This procedure can be performed without needing fusion.
Fusion is a technique that allows for decompression of multiple segments of the cervical spine in patients with multi-level stenosis.
Need to know
The procedure is usually conducted under general anaesthetic, meaning you'll be asleep for the duration. It usually takes between one and two hours. Because surgery is performed with you lying on your front, it is necessary to apply temporary pins to the skull, attached to a special clamp, which allows your head to be securely suspended over the operating table. These pins are removed immediately after the procedure (before you wake up).
Your consultant will make a cut in the middle of the back of your neck. The consultant will split the muscles to gain access to your spine. Enough bone and ligament tissue are removed to open up the narrowed part of the canal, giving your spinal cord and blood vessels more space. They will then carefully sew up the incision.
Your consultant will make a cut in the middle of the back of your neck. The consultant will split the muscles to gain access to your spine. Enough bone and ligament tissue are removed to open up the narrowed part of the canal, giving your spinal cord and blood vessels more space. They will then carefully sew up the incision.
Your consultant will tell you how best to prepare for your surgery.
You will spend around one to three nights in hospital. After surgery you may need to lie flat in bed for a few hours while the anesthetic wears off. The aim will be to get you up and walking as soon as possible after the surgery.The following day you will be mobilised in the morning with the assistance of a physiotherapist or nurse. Each day you will be encouraged to undertake more activities by yourself.
Our Posterior cervical decompression locations
The Princess Grace Hospital Outpatients
30 Devonshire Street W1G 6PU London
City of London - 31 Old Broad Street
City of London 31 Old Broad Street EC2N 1HT London
Chelsea Outpatients
280 King's Road SW3 5AW London
Elstree Waterfront Outpatients
The Waterfront Business Park, Beaufort House Elstree Road, Elstree WD6 3BS Hertfordshire
Golders Green Outpatients
Roman House, 296 Golders Green Road Golders Green NW11 9PY London
Institute of Sport Exercise and Health (ISEH)
170 Tottenham Court Road W1T 7HA London
London Bridge Hospital
27 Tooley Street SE1 2PR London
The Harborne Hospital
Mindelsohn Way B15 2TQ Birmingham
The Harley Street Clinic
35 Weymouth Street W1G 8BJ London
The Lister Hospital
Chelsea Bridge Road SW1W 8RH London
The Portland Hospital
205-209 Great Portland Street W1W 5AH London
The Princess Grace Hospital
42-52 Nottingham Place W1U 5NY London
The Shard Outpatients
The Shard 32 St Thomas Street SE1 9BS London
The Wellington Hospital Outpatients
15 - 17 Lodge Road NW8 7JA London
Patient stories
Hear from past patients about their experience