Why is a cervical
hernia dangerous?
- 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
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.
Flexion-extension X-ray
Needed to assess mobility and stability of the cervical spine.
ElectroNeuroMyoGraphy
An objective assessment of nerve and spinal cord damage.
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
Surgical treatment options
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.
cervical discectomy
and fusion
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?
- MRI
- CT
- Flexion-extension X-rays
- Symptoms
- Neurological status
- Age
- Patient's activity level
- Disc condition
- Facet joint condition
- Presence or absence of instability
Why choose us?
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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).
Clinical cases
Endoscopy
ACDF
Disc prosthesis
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of NAMS of Ukraine
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