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Cervical Radiculopathy

Dr. Rhee is Assistant Professor, Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA. Dr. Yoon is Assistant Professor, Orthopaedic Surgery, Emory University School of Medicine. Dr. Riew is Professor, Orthopaedic Surgery, Washington University, St. Louis, MO.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Rhee, Dr. Yoon, and Dr. Riew.

Reprint requests: Dr. Rhee, Emory Spine Center, Emory University School of Medicine, Suite 3000, 59 Executive Park South, Atlanta, GA 30329.

Cervical radiculopathy is a disorder involving dysfunction of cervical nerve roots that commonly manifests as pain radiating from the neck into the distribution of the affected root. Acute cervical radiculopathy generally has a self-limited clinical course, with up to a 75% rate of spontaneous improvement. Thus, nonsurgical treatment is the appropriate initial approach for most patients. When nonsurgical treatment fails to relieve symptoms or if a significant neurologic deficit exists, surgical decompression may be necessary. Surgical outcomes for relief of arm pain range from 80% to 90% with either anterior or posterior approaches.