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Your cervical spine is made up of seven vertebrae that support your head and enable neck movement. When multiple levels of these vertebrae experience problems, a two level fusion cervical spine surgery might offer relief. As Columbia-trained specialists at Neurosurgeons of New Jersey, we regularly perform this procedure to help patients regain comfort and function in their daily lives.

What Is Two-Level Fusion Cervical Spine Surgery?

Two-level fusion cervical spine surgery addresses problems affecting three vertebrae in your neck that are connected via two joints. Unlike a single-level fusion, two-level fusion neck surgery stabilizes three vertebrae, similar to reinforcing two consecutive links in a chain. The operation typically involves removing damaged discs, inserting supportive implants, and securing the vertebrae with plates and screws to promote healing.

Common conditions that may require two level fusion cervical spine surgery include:

  • Two adjacent herniated discs causing nerve compression
  • Degenerative disc disease affecting consecutive levels
  • Cervical instability spanning multiple segments
  • Spinal deformity or “kyphosis” requiring correction

When is Two-Level Cervical Fusion Needed?

Patients typically consider this surgery after experiencing persistent symptoms that significantly impact their quality of life. Our team carefully evaluates each case, lookin for specific indicators:

Symptoms Leading to Consideration of Surgery

  • Chronic neck pain resistant to conservative treatment
  • Radiating pain or numbness in the arms
  • Weakness affecting hand strength or coordination
  • Problems with balance and gait

Diagnostic Tests For Confirmation

Before recommending two-level fusion cervical spine surgery, we conduct thorough evaluations using:

  • Advanced MRI imaging to assess nerve compression
  • CT scans to examine bone structure
  • X-rays to evaluate spine alignment and stability
  • Neurological tests to measure nerve function

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Surgical Procedure for Two-Level Fusion Cervical Spine Surgery

At Neurosurgeons of New Jersey, located just 20 minutes from NYC, our surgical team brings extensive experience to this complex procedure, which includes the following steps:

Preoperative Planning

  • Comprehensive medical evaluation
  • Detailed review of medications
  • Specific instructions for the day before surgery
  • Discussion of post-operative care plans

Step-by Step Surgical Technique

  • Creation of a small incision in the front of the neck (anterior)
  • Careful removal of damaged disc material
  • Precise placement of bone grafts or implants for fusion
  • Securing of plates and screws for stabilization

Duration of Surgery

Most two-level fusion procedures take 2-3 hours and are performed under general anesthesia with continuous neurological monitoring.

Benefits and Risks of Double Fusion Neck Surgery

Two level fusion cervical spine surgery can provide significant improvements in quality of life.

Potential Benefits

  • Relief from chronic neck and arm pain
  • Improved nerve function and reduced numbness
  • Enhanced cervical spine stability
  • Stopping the progression of neurological deterioration

Potential Risks

While our experienced team works to minimize risks, patients should understand what the potential risks/consequences of surgery are. For a complete discussion of all of these risks, a consultation with a surgeon is necessary.  Listed below are some to consider.

  • Lack of union of the fused spinal segments
  • Some reduction in neck mobility
  • Possible stress on adjacent spinal segments
  • Variable healing times depending on individual factors
  • The persistence of pre-operative symptoms

Long-Term Outcomes

While most patients experience relief, outcomes can vary, and some may require additional procedures.

Recovery and Rehabilitation

Recovery from two-level fusion requires patience and commitment. The team at Neurosurgeons of New Jersey provides comprehensive support throughout this journey.

Initial Recovery Phase and Post-Operative Care

  • The procedure is commonly performed on an outpatient basis
  • If your overall health indicates that a hospital stay is needed, usually this is just overnight.
  • Pain management through medication and positioning
  • Early mobility with appropriate support
  • Use of a cervical collar as needed
  • Possible dietary modifications to make swallowing easier and less painful

Rehabilitation Process

  • Physical therapy starting at 4-6 weeks
  • Regular follow-up appointments to monitor fusion
  •  Modifications for daily activities during healing

Most patients return to light activities and work within 6-8 weeks, with full recovery continuing over several months.

Making an Informed Decision

Seeking a second opinion is a crucial step in making informed healthcare decisions, especially when considering a complex procedure like two-level fusion cervical spine surgery. Consulting with another qualified neurosurgeon can provide a fresh perspective, confirm or challenge the initial diagnosis and treatment plan, and ultimately empower you to make the best possible choice for your health.

During your consultation, we encourage you to ask about:

  • Your surgeon’s experience with multiple-level fusions
  • Expected outcomes based on your specific condition
  • Alternative treatment options
  • Detailed recovery timeline and requirements

Find Neck Pain Relief With Neurosurgeons of New Jersey

Two level fusion cervical spine surgery is an excellent option for addressing complex neck problems. At Neurosurgeons of New Jersey, our unique approach combines the cutting-edge expertise of academic medicine with the personalized care and attention of a private practice.

From diagnosis to recovery, we’re dedicated to providing both technical excellence and compassionate support throughout your treatment journey. Located conveniently in the suburbs, we offer accessible, high-quality care close to home.

Authors of this Blog: The Ridgewood Spine Team

Dr. Gaetan Moise, MD, FAANS

Dr. William S. Cobb, MD, PHD, FAANS

Dr. Michael G. Kaiser, MD, FACS, FAANS

Dr. Alfred T. Ogden, MD, FAANS

Dr. Jonathan Yun, MD, FAANS

About Ridgewood

Spine Team

Our team of board certified physicians, located in Ridgewood, New Jersey, are dedicated to bringing you the latest developments and treatment options for spinal surgery. We strive to produce the most clarified & clear content to help you make informed decisions on your medical journey. The road to feeling like your true self should not feel lonely- Let us help you. Please call us to schedule a consultation and speak to one of our team members.

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Please call today to schedule a consultation with us.
551-284-3265

Request a consultation with the Ridgewood Spine Team

Request a consultation

Please call today to schedule a consultation with us.
551-284-3265

Request a consultation with the Ridgewood Spine Team

Request a consultation