Posterior Cervical Discectomy & Fusion

Target persistent neck and nerve pain at the source with a proven surgical solution designed to stabilize and protect your spine.

With Posterior Cervical Discectomy & Fusion Relieve Nerve Pressure

At Core Alliance, we specialize in advanced spine procedures that help patients return to life with less pain and greater confidence. Led by Dr. Aron Rovner—a board-certified, fellowship-trained spine surgeon with over 20 years of experience—our practice offers posterior cervical discectomy and fusion (PCDF) as an effective option for individuals struggling with spinal cord or nerve compression in the neck. This targeted surgery is designed to restore stability and improve daily function. Contact us at Core Alliance today to find out if this approach is right for your needs.

What Is Posterior Cervical Discectomy & Fusion?

Posterior cervical discectomy and fusion is a surgical procedure used to treat cervical spine conditions that cause nerve compression, spinal instability, or chronic neck pain.

“Posterior” refers to the approach—accessing the spine through the back of the neck—while “discectomy” involves removing the damaged disc that is pressing on the spinal cord or nerve roots. After the disc is removed, “fusion” is performed to stabilize the spine using bone grafts and specialized hardware.

This procedure is often recommended for patients with herniated discs, bone spurs, or degenerative disc disease who have not responded to conservative treatment. By decompressing the nerves and stabilizing the cervical spine, PCDF can relieve symptoms such as pain, numbness, weakness, and reduced mobility in the arms or hands.

Compared to other spinal surgeries, PCDF allows surgeons to address issues located on the back side of the cervical spine while preserving as much motion and soft tissue integrity as possible.

Benefits of Posterior Cervical Discectomy & Fusion

This procedure offers significant improvements for patients with cervical nerve or spinal cord compression. Key benefits include the following:

Relief from chronic neck and arm pain: Removing pressure on the nerve roots can reduce or eliminate pain that radiates into the arms and shoulders.
Improved neurological function: Patients often experience a reduction in numbness, tingling, or weakness in the upper extremities.
Spinal stability: The fusion portion of the procedure strengthens and supports the affected spinal segment, reducing the risk of future collapse or misalignment.
Preserved alignment: PCDF helps maintain or restore normal curvature and spacing in the cervical spine.
Improved quality of life: Reduced pain and increased mobility often lead to greater independence and return to everyday activities.
Minimally disruptive approach: Because the procedure avoids going through the front of the neck, it can minimize disruption to structures like the esophagus and vocal cords in some patients.

Who Is a Good Candidate for Posterior Cervical Discectomy & Fusion?

Ideal candidates for PCDF are individuals who have been diagnosed with cervical disc herniation, spinal stenosis, or other degenerative changes that compress the spinal cord or nerve roots from the back side of the neck. Candidates often experience symptoms such as radiating arm pain, hand weakness, or loss of fine motor skills.

Most have already tried non-surgical treatments like physical therapy, medications, or injections without success. A thorough physical exam, imaging studies, and consultation with a spine specialist are essential to determine if this is the most appropriate next step.

"Dr. Rovner and his team are extraordinary. I met Dr. Rovner twice, and every time, he was very insightful, explaining procedure and non-procedure options in detail. His treatment suggestion was on point, and I’m feeling much better! At the same time, his team is always ready to follow up on appointments and questions. Would definitely recommend."

– Tomas Janka

Schedule A Consultation Tailored Solutions for Every Spine

Your Consultation

Your experience begins with a detailed consultation with Dr. Rovner. During this visit, we’ll review your imaging, discuss your symptoms, and talk through your treatment options. Every recommendation is based on your individual condition and long-term goals.

What to Expect During Posterior Cervical Discectomy & Fusion

PCDF is typically performed under general anesthesia in a hospital or surgical center. During the procedure, Dr. Rovner makes a small incision along the back of the neck and carefully moves aside soft tissues to access the spine. The compressed nerve root or spinal cord is relieved by removing part of the bone or disc material. Once decompression is complete, a bone graft—sometimes accompanied by screws and rods—is placed to fuse the adjacent vertebrae and stabilize the spine.

The surgery may take several hours, depending on the complexity and the number of levels treated. Most patients remain in the hospital for one to two nights for observation and initial recovery support. A soft or rigid collar may be provided to protect the neck during early healing.

What Is the Recovery Like After Posterior Cervical Discectomy & Fusion?

Recovery varies depending on the extent of the surgery and the patient’s overall health, but most individuals begin to feel relief from nerve pain within the first few weeks. Physical therapy often begins shortly after surgery to support healing and restore strength.

Patients are typically advised to avoid lifting, twisting, or strenuous activity for several weeks. Full recovery and fusion may take several months, but many patients are able to return to work and daily routines well before that point.

What Is the Cost of Posterior Cervical Discectomy & Fusion?

The cost of PCDF can vary depending on the surgical facility, anesthesia fees, insurance coverage, and whether multiple spinal levels are involved. Core Alliance accepts many PPO insurance plans and will work with you to verify coverage and explain your benefits in detail.

Alternatives to Posterior Cervical Discectomy & Fusion

Not every patient with cervical spine problems needs surgery. At Core Alliance, we explore all conservative options first, which may include physical therapy, nonsteroidal anti-inflammatory medications, targeted injections, or lifestyle modifications.

For some patients, anterior cervical discectomy and fusion (ACDF) or cervical disc replacement may be considered based on the location of the compression and the overall spinal alignment. Dr. Rovner will guide you through all viable alternatives to ensure the selected approach is both safe and effective.

Why Choose Core Alliance?

Core Alliance is built around one goal: helping patients return to life without unnecessary delays or disruption. Dr. Rovner is a board-certified, fellowship-trained spine surgeon with over two decades of experience in minimally invasive procedures and complex cervical spine care. Patients trust us because we combine surgical excellence with accessible, personalized care. Schedule your consultation today to find out if posterior cervical discectomy and fusion is the right next step for your spine health.

Frequently Asked Questions Posterior Cervical Discectomy & Fusion

Will I lose motion in my neck after fusion?

Some loss of motion is expected at the fused level, but most patients retain good overall neck mobility—especially if only one or two levels are involved.

How long does the bone take to fuse?

Fusion typically occurs over three to six months. During this time, your body forms new bone tissue to solidify the spinal segment.

Can I drive after PCDF surgery?

Driving is usually restricted during the early recovery period, especially if you are wearing a collar or taking pain medication. Dr. Rovner will advise you when it is safe to resume.

Are there risks with this procedure?

As with any surgery, risks may include infection, bleeding, nerve injury, or failure of the fusion. However, complications are relatively rare when performed by an experienced surgeon.

Will I need physical therapy after surgery?

Yes. Physical therapy plays a key role in your recovery and is typically introduced in stages to rebuild strength and mobility safely.