Related Items; Photo of puzzle pieces

Spinal Fusion: Cervical

Fusing vertebrae in the cervical curve may help ease neck and arm pain. Two or more vertebrae in your neck are fused. Cervical fusion is usually done through an incision in the front of the neck. It may sometimes be done through the back of the neck, or through both the front and back. The surgery generally takes from 1–4 hours.

Image
Cervical vertebrae

The Fusion Procedure

These steps apply to fusion from the front of the neck:

  • The disk is removed from between the vertebrae.

  • Bone graft is packed into the now-empty space between the vertebrae. In time, the graft and the bone around it will grow into a solid unit.

  • To help keep your spine steady and promote fusion, extra support (see below) may be used

  • The incision is closed with sutures or staples.

Image
The disk between the vertebrae is removed.

Image
Bone graft is packed into the now-empty space between the vertebrae.

Image
Over a few months, the bone graft and vertebrae fuse into a solid unit.

If Extra Support Is Needed

Metal supports called instrumentation may be used to help steady your spine while it fuses. These supports are not removed. Your surgeon may use one or more types of support. The most common type of support used with cervical fusion is a plate.

Publication Source: Aminoff MJ, Cecil medicine, 23rd ed., Chapter 423 – Mechanical and other lesions of the spine, nerve roots and spinal cord, 2007, pp 2646-2659
Publication Source: Patterson JT, et al, Sabiston textbook of surgery, 18th ed., Degenerative disorders of the spine, 2008, pp 2118-2119
Online Source: Cervical Spine Research Society (CSRS), Rosemont, IL http://www.csrs.org/web/patientinfo/cervicalfusion.htm
Online Medical Reviewer: Bhattacharyya, Tim MD
Date Last Reviewed: 1/15/2007
Date Last Modified: 7/9/2002