For more symptomatic patients with radicular cervical spondylosis, the surgical options include open surgery and minimally invasive surgery.
For neurogenic cervical spondylosis caused by anterior compression of the spinal canal, anterior approach surgery is an option, which provides an aesthetically pleasing incision, minimal trauma through the muscular space and facilitates the restoration of cervical curvature. For neurogenic cervical spondylosis caused by posterior structural lesions such as posterior microarticular hyperplasia, a posterior approach can be used.
In addition, with recent advances in minimally invasive technology, techniques such as percutaneous cervical radiofrequency disc ablation, percutaneous cervical laser decompression, percutaneous endoscopic posterior cervical foraminotomy decompression (Key-hole) and percutaneous endoscopic discectomy can also be used to treat neurogenic cervical spondylosis, with the Key-hole procedure even being able to achieve posterior decompression while crossing the spinal cord laterally to achieving partial decompression anteriorly.