Is neck pain treatable with surgery?

Eur Spine J. 2024 Mar;33(3):1137-1147. doi: 10.1007/s00586-023-08053-0. Epub 2024 Jan 8.

Abstract

Introduction: Neck pain is one of the most common complaints in clinical practice and can be caused by a wide variety of conditions. While cervical spine surgery is a well-accepted option for radicular pain and myelopathy, surgery for isolated neck pain is controversial. The identification of the source of pain is challenging and subtle, and misdiagnosis can lead to inappropriate treatment. MATERIALS AND METHODS AND RESULTS: We conducted a thorough literature review to discuss and compare different causes of neck pain. We then supplemented the literature with our senior author's expert analysis of treating cervical spine pathology.

Conclusions: This study provides an in-depth discussion of neck pain and its various presentations, as well as providing insight into treatment strategies and diagnostic pearls that may prevent mistreatment of cervical spine pathology.

Keywords: Cervical disc herniation; Cervical radiculopathy; Cervical spine; Cervical spine surgery; Neck pain.

Publication types

  • Review

MeSH terms

  • Cervical Vertebrae / surgery
  • Humans
  • Neck Pain / diagnosis
  • Neck Pain / etiology
  • Neck Pain / surgery
  • Radiculopathy* / surgery
  • Spinal Cord Diseases* / surgery
  • Treatment Outcome