Neck pain is common. Conservative treatment is usually successful. Cervical radiculopaty is usually caused by a disc herniation. Conservative treatment is generally successful, however surgery is indicated if radicular pain is severe and persistent for more than 6 to 12 wk. Spinal cord compression and long-tract symptoms may be caused by a central cervical disc herniation, treatment is by anterior disc excision, bone grafting or metal fusion cages. Confirmation of the clinical level of disc herniation must be made by imaging (CT and (or) MRI). With proper patient selection, surgery for cervical disc herniation can be expected to lead to excellent results in the majority of patients (80-90%).
reference & authors:
Management of pain syndroms related to cervical herniated disc
Nowakowski A, Kubaszewski L, Kaczmarczyk J.