Orthopaedic Spine Center
450 Broadway St. | MC6342
Redwood City, CA 94063
For Adult Patients: (650) 725-5905

Cervical Spine Surgery

Below are some of the procedures offered by Dr. Cheng to treat cervical spine conditions. Click the links below to learn more about the selected treatment:

Disc Anatomy

Normal Discs

The cervical spine consists of the bony vertebrae, discs, nerves and other structures. The vertebrae, which stack up to create your spinal column, surround and protect your spinal cord. The discs are located between each vertebra. Discs consist of a fibrous outer layer (annulus) surrounding a gelatinous center (nucleus). They allow motion between vertebrae, act as shock absorbers, and distribute the stress and strain placed on your spine.

Herniated Discs

When a disc weakens, the outer layer may not be able to hold the center of the disc in place and the disc may “bulge” which can irritate nerves. In advanced cases it may actually rupture (herniate) through the annulus and pinch the spinal nerves. This can cause numbness, weakness, and/or pain which radiate down the arm into the hand; or can cause difficulty with fine motor movements. If pressure on the spinal nerves continues, nerve damage can occur and cause either numbness or muscle weakness as well. Most patients with herniated discs do well without surgery; however a small percentage may require surgery. There are rare circumstances in which some patients require immediate surgery. These include progressive neurologic loss such as increased weakness or paralysis.

Treatment Options for Herniated Cervical Discs

ACDFCompressed Nerve Conservative Management: Many herniated discs get better with time, anti-inflammatory medications, and physical conditioning. Cervical traction or steroid injections may help relieve the pain and inflammation around the nerves. If these attempts at conservative care do not relieve symptoms or if there is progressive neurological damage, surgery may be necessary.