Kyiv, 27 Bulvarno-Kudriavska St.
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Surgical treatment of cervical spine disc herniation

Endoscopic hernia removal, ACDF and artificial disc replacement

Free online consultation with Prof. Yakiv Fishchenko

Why is a cervical
hernia dangerous?

Cervical spine disc herniation
  • Weakness in an arm or leg
  • Gait and balance disturbances
  • Numbness and tingling
  • Impaired coordination
  • Signs of spinal cord compression
  • Bladder or bowel dysfunction

See a doctor urgently if you develop weakness in an arm or leg, gait disturbances, or bladder / bowel dysfunction.

What examinations are needed?

Cervical spine MRI

Cervical spine MRI

The key examination to assess the hernia, nerve structures and the spinal cord.

Cervical spine CT

Required for osteophytes, calcified hernia, stenosis or complex degenerative changes.

Cervical spine CT
Flexion-extension X-ray of the cervical spine

Flexion-extension X-ray

Needed to assess mobility and stability of the cervical spine.

ElectroNeuroMyoGraphy

An objective assessment of nerve and spinal cord damage.

Electroneuromyography

When is surgery needed?

  • Pain that persists despite treatment
  • Weakness in the arm
  • Numbness or loss of sensation
  • Nerve root compression
  • Spinal cord compression
  • Gait disturbances
  • Pelvic organ dysfunction
  • Progressing symptoms
Herniated disc compressing a nerve root

Surgical treatment options

Endoscopic cervical hernia removal
Endoscopic
cervical hernia
removal

A minimally invasive operation that removes the hernia through a small puncture. Suitable mainly for lateral and foraminal hernias, when the hernia compresses a nerve root.

Advantages:

  • Minimal tissue trauma
  • Preservation of your own disc
  • Minimal blood loss
  • Small scar
  • Fast mobilization
  • Short hospital stay
  • Quick return to everyday life

The classic operation for complex cervical hernias. The damaged disc is removed, the compression of the nerve structures is relieved, and a cage is implanted.

Suitable for:

  • Large central hernias
  • Spinal cord compression
  • Pronounced osteophytes
  • Spinal canal stenosis
  • Instability
  • Significant disc collapse

Specifics of the method:

The operated segment loses mobility due to vertebral fusion.

ACDF — anterior cervical discectomy and fusion
ACDF — anterior
cervical discectomy
and fusion
Cervical disc replacement
Cervical disc
replacement

A modern motion-preserving operation. The damaged disc is removed, the nerve structures are released, and a mobile disc prosthesis is implanted instead of a cage.

Advantages:

  • Preserved mobility
  • No vertebral fusion
  • More physiological biomechanics
  • Less overload of adjacent discs
  • The best option for active patients

A chance to avoid segment immobilization in properly selected patients

Endoscopy, ACDF or disc replacement?

Method Advantage When it is suitable
Endoscopy Minimal trauma, disc preservation Lateral and foraminal hernias
ACDF Reliable decompression and stabilization Central hernias, stenosis, osteophytes
Disc prosthesis Preserved mobility Patients with indications for anterior access and preserved segment mobility

Which surgery do you need?

Neck pain caused by a cervical hernia
Based on the assessment of
  • MRI
  • CT
  • Flexion-extension X-rays
  • Symptoms
  • Neurological status
  • Age
  • Patient's activity level
  • Disc condition
  • Facet joint condition
  • Presence or absence of instability
We select the surgical method individually

Why choose us?

over
400+
endoscopic surgeries
every year
over
3000+
endoscopic spine
surgeries
Extensive experience in surgical treatment of spinal disorders
Modern methods of cervical hernia treatment
Free
online consultation
Individual choice of surgery
Endoscopy, ACDF or disc replacement available
Motion-preserving approach
Post-operative follow-up

Treatment cost

Endoscopic cervical discectomy

from
78
K UAH

Learn more

ACDF — anterior discectomy and fusion

from
81
K UAH

Learn more

Disc replacement

from
120
K UAH

Learn more

Trust your health
only to the best!

How long does the operation take?

Depending on the method and complexity — usually from 40 minutes to 2 hours. The exact duration is discussed after your examinations are reviewed.

How many days will I spend in hospital?

After endoscopic hernia removal — usually 1–3 days. After ACDF or disc replacement — 3–5 days, depending on the patient's condition.

Is it painful after the operation?

Thanks to modern pain management, post-operative pain is well controlled. Most patients notice a reduction of arm pain within the first days after surgery.

Will there be a scar after the operation?

Endoscopy leaves only a puncture mark of about 1 cm. With ACDF and disc replacement the incision is made in a natural skin fold of the neck and becomes barely noticeable over time.

When can I return to work or studies?

Office work and studies can usually be resumed 2–4 weeks after surgery. Timelines for physical work are determined individually.

Will I be able to do sports after the operation?

Yes, with a gradual return:

  • light activity and walking — from the first weeks;
  • swimming and gym — usually after 2–3 months;
  • contact sports — only after your doctor's approval.
Do I need to wear a cervical collar?

The need for a collar and how long to wear it depend on the surgical method and are determined individually by the doctor. After endoscopy a collar is usually not required.

Will metal detectors react to the implant?

In most cases, no. Cages and disc prostheses are made of titanium and polymer materials that usually do not trigger metal detectors. No documents or certificates are needed for flights.

Can I have an MRI after the implant is placed?

Yes, modern cervical implants are MRI-compatible and are not a contraindication to the examination.

Can I fly after the operation?

Flights are usually allowed 1–2 weeks after surgery if recovery proceeds without complications.

How do I book a consultation or surgery?

You can contact our administrator to book a consultation:

📞 Phone: (094) 821-08-30 (Olena Ihorivna).

Patient reviews

Oleksandr
52 years old

For several months I suffered from severe neck pain that radiated into my right shoulder and arm. Gradually, numbness in my fingers and weakness in my hand appeared. Medication, physiotherapy and nerve blocks gave only short-term relief. After the consultation, Professor Fishchenko explained the cause of my symptoms in detail and proposed surgery to decompress the nerve root.

My biggest worry was the possible complications, but the operation went well. When I woke up, the pain in my arm was almost gone. The next day I was already walking on my own, and soon I was discharged home. The numbness in my fingers decreased gradually during rehabilitation.

I sincerely thank Professor Yakov Vitaliyovych and the whole team for their professionalism, calm attitude and attentive post-operative care.

Nataliia
46 years old

I came in because of a cervical disc herniation and unbearable pain in my left arm. I couldn’t sleep properly, work at the computer, or even hold ordinary objects. What frightened me most was that my arm was starting to grow weak.

Professor Fishchenko carefully reviewed my MRI, examined me, and clearly explained the possible treatment options. After the surgery, the pain that had tormented me for many weeks decreased significantly. During the first few days I felt some discomfort in the surgical area, but it was quite tolerable.

I am especially grateful for the attentiveness of the whole team and their clear recovery guidance. I am now gradually returning to my normal life, and my only regret is that I put off seeing a surgeon for so long.

Serhii
41 years old

Because of a herniation in my cervical spine, my neck and right arm hurt constantly, and my thumb and index finger were numb. I train actively in sports, so it was especially important for me not only to get rid of the pain but also to preserve the mobility of my neck as much as possible.

After the examination, I was offered removal of the damaged disc and the placement of a mobile implant. The professor explained in detail the differences between disc stabilization and disc replacement, and the possible benefits and limitations of each method.

The operation was a success. The pain in my arm disappeared almost immediately, and the sensitivity of my fingers gradually returned. Rehabilitation was supervised by the team. I am very grateful to Professor Fishchenko for his modern approach, confidence and honest attitude toward the patient.

Liudmyla
59 years old

For a long time I treated my neck pain conservatively, but over time I began to feel weakness in my hands, clumsiness in my fingers and unsteadiness when walking. After an MRI it became clear that my spinal cord was compressed and that further delaying surgery could be dangerous.

Professor Fishchenko calmly explained the situation, showed me the problem areas on the scans and answered all my questions. I underwent decompression of the cervical spine with stabilization. After the operation I began to get up and walk quite quickly. The recovery of my hand function happened gradually, but within a few weeks I noticed that I could hold objects and handle everyday tasks more confidently.

I thank the professor and all the medical staff for their care, professionalism and support throughout the entire treatment.

Andrii
55 years old

I came to Professor Fishchenko with severe pain in my neck and left arm. The pain kept me from sleeping, and because of the weakness in my arm it became hard for me to drive and work. At first I was very afraid of neck surgery, but after the consultation I understood exactly how the procedure would go and what to expect from recovery.

I underwent surgery to remove the herniation and place an interbody cage. As soon as I woke up, I felt that the acute pain in my arm was gone. The next day I walked on my own, and after discharge I continued my recovery following the rehabilitation specialist’s recommendations.

I am grateful to Professor Yakov Vitaliyovych and his team for their confidence, humane attitude and well-organized work. For me, this was a return to a normal life.

Clinic team — Institute of Traumatology and Orthopedics of NAMS of Ukraine
Contact us and our team will help you get rid of pain and return to a full life
Institute of Traumatology and Orthopedics
of NAMS of Ukraine
Kyiv, 27 Bulvarno-Kudriavska St.
Free
online consultation

Do you have questions?
Yakiv
FISHCHENKO
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Dr. Yakiv Fishchenko