Relief for Chronic Neck and Back Pain
Don’t let persistent neck pain, upper back pain, or upper extremity pain keep you from enjoying life. At SpineCare of New York, our experienced spine surgeons perform posterior cervical decompression and fusion (PCDF) to relieve pressure on the spinal cord and nerves, restore stability, and help you move comfortably again. We combine advanced surgical techniques with compassionate, patient-centered care to help you achieve lasting relief and improved spinal health.
What Is Posterior Cervical Decompression and Fusion?
Posterior cervical decompression and fusion (PCDF) is a surgical procedure designed to relieve pressure on the spinal cord and nerve roots in the neck. During the surgery, the surgeon removes bone, bone spurs, or disc material that are compressing the spinal nerves. Then, the affected vertebrae are fused together using a bone graft and secured with metal screws and rods to stabilize the spine.
This procedure is commonly performed to treat:
- Cervical spinal stenosis
- Herniated or degenerative discs
- Spinal instability or deformity
- Traumatic spine injuries or fractures
- Prior failed surgeries
By decompressing the nerves and stabilizing the spine, PCDF can significantly reduce pain, improve function, and prevent further nerve damage.
Who Is a Candidate?
You may be a candidate for PCDF if you:
- Have chronic neck or arm pain, numbness, or weakness caused by spinal nerve compression
- Have spinal instability, fractures, or dislocations in the cervical region
- Have experienced a traumatic injury affecting the cervical spine
- Have tried non-surgical treatments such as medications, physical therapy, or injections without lasting relief
Your surgeon will perform a full evaluation (including imaging studies) to determine if PCDF is the best option for your condition.
What to Expect During the Procedure
PCDF is performed under general anesthesia.
- A small incision is made on the back of the neck to access the cervical spine.
- The surgeon removes parts of the lamina (the back part of the vertebra), bone spurs, and any disc or ligament material pressing on the nerves or spinal cord.
- A bone graft, from your own body or a donor, is placed between the affected vertebrae to promote fusion.
- Metal rods and screws are used to hold the bones in proper alignment while the graft heals.
- The incision is closed, and you are taken to recovery.
The surgery typically takes two to four hours, but varies depending on the number of vertebrae involved.
Recovery and Results
Most patients stay in the hospital for 1–3 days following surgery.
During early recovery, you may need assistance walking and may use a brace or walker for support. Pain and stiffness are expected, but your care team will provide medications and physical therapy recommendations to help you recover safely.
You can expect:
- Gradual improvement in pain and nerve symptoms over a period of weeks to months
- Return to light activity in 8 weeks
- Full bone fusion and spinal healing over 6–12 months
Your surgeon will monitor your healing through follow-up visits and imaging studies.
Schedule a Consultation
Neck and back pain don’t have to control your life. At SpineCare of New York, our board-certified spine specialists are here to help you find lasting relief through personalized surgical and non-surgical care. Take the first step toward recovery, schedule your consultation today by calling our New York City office or contacting us online.
Dr. Hughes is an amazing spinal surgeon. He does a great physical examination along with understanding the imaging. My operation for spinal stenosis went well and I started walking the next morning and came home the day after. The office is very responsive even though VERY busy. I went from a wreck to a mobile oldster in a vet short time.
David R.
Dr. Hughes and his entire staff were professional, caring and courteous. Dr. Hughes gave me great advice on how to move forward after my spine surgery. I would recommend Dr. Hughes highly. I appreciate his care and concern.
Lisa C.
In The Media
SpineCare of NY has been highlighted in the media for our innovative spine care and outstanding results. Explore our features here.
Forms
Download all necessary patient forms to prepare for your SpineCare of NY appointment.
SpineCare of NY is located at 523 East 72nd Street, 3rd Floor, New York, NY 10021.
If you are an existing or past patient, please use the Patient Portal to communicate with us.
Please note: This form is for NEW patients only and should be used strictly for administrative messages. DO NOT TRANSMIT personal, confidential health information, i.e., your insurance ID #. Thank you.
