Stenosis Surgery
Cervical stenosis occurs when the spinal canal in the neck narrows, compressing the spinal cord or nerves. This can cause neck pain, arm pain, numbness, weakness, balance problems, and in severe cases, myelopathy (spinal cord dysfunction). When conservative care isn’t enough, cervical stenosis surgery may be necessary to decompress the spinal cord and stabilize the spine. At Desert Spine and Pain, neurosurgeon Dr. David L. Greenwald, M.D., FAANS, FACS specializes in both anterior and posterior surgical approaches, choosing the safest and most effective technique based on your condition.

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Cervical spinal stenosis narrows the canal in the neck and can compress the spinal cord itself — causing hand clumsiness, balance trouble, and weakness that tend to progress. Surgery relieves that pressure to protect long-term function, and because it involves the spinal cord, it belongs with an experienced surgeon.
Book a Consultation — (602) 566-9500How Cervical Decompression Relieves Stenosis
Cervical stenosis surgery relieves pressure on the spinal cord and nerves in the neck by reopening the narrowed canal — from the front (as in an ACDF or corpectomy) or the back (laminectomy, sometimes with fusion), depending on where and how the cord is compressed. Because the spinal cord doesn't tolerate pressure well and symptoms (myelopathy) tend to progress, timely decompression protects long-term function.
Surgery is considered for cervical stenosis causing cord compression (myelopathy) — hand clumsiness, balance or walking difficulty, weakness — or persistent nerve symptoms, confirmed on imaging. Because myelopathy tends to progress, timely evaluation matters. Dr. Greenwald's dual training as a spine surgeon and neurosurgeon is well suited to cord-level surgery.
Book a Consultation — (602) 566-9500Relieves spinal cord compression and can halt the progression of myelopathy; protects long-term function; performed by a surgeon experienced with the spinal cord; approach tailored to your anatomy.
Risks include swallowing difficulty or hoarseness (anterior approaches), bleeding, infection, hardware or fusion issues, and, uncommonly, neurological injury. Dr. Greenwald discusses your individual risks thoroughly.
For well-selected patients, cervical decompression relieves cord pressure and can stop the progression of myelopathy, protecting function. Neurological recovery depends on the pre-operative severity — which is why early treatment of cord compression is so important. We discuss realistic, individualized expectations.
Life Beyond the Pain

Under general anesthesia, the cord is decompressed through the approach best suited to your anatomy — anterior (front of the neck) or posterior (back). The bone, disc, or thickened ligament compressing the cord is removed, and the spine is stabilized with a fusion if needed. This is meticulous work performed around the spinal cord itself.
Your procedure is performed by Dr. Greenwald at an affiliated, accredited surgical facility — not in the clinic office — with a full surgical and anesthesia team.
| Timeframe | What to expect |
|---|---|
| First 1–2 weeks | Home the same day or after a short stay, depending on the approach. A soft collar may be used; gentle activity and walking. |
| Weeks 2–6 | Activity increases steadily; many return to light or desk work; any fusion begins to form. |
| Months 2–3 | Resume most normal activities as symptoms improve. |
| Months 6–12 | Recovery continues; any fusion solidifies over this period. |
Recovery depends on the approach and whether a fusion was needed. Neurological recovery depends on how long and how severely the cord was compressed before surgery.
Cost and coverage shouldn't stand between you and relief. Desert Spine and Pain welcomes out-of-network patients and will walk you through what your evaluation and treatment are likely to involve before anything is scheduled — so there are no surprises. We'll help you understand your benefits and options, whether you're using insurance, paying out-of-pocket, or being treated under a personal-injury claim.
Patients travel to Desert Spine and Pain from across Arizona for specialist spine care — because the right spine surgeon is worth the drive. We welcome patients from Phoenix and communities throughout the Valley and beyond:
…and surrounding Arizona communities. Out-of-network patients are welcome, and no referral is required — schedule a consultation.
Choosing the right spine specialist in Phoenix matters. At Desert Spine and Pain, your care is led by Dr. David L. Greenwald, MD, FAANS, FACS — a physician who is both a board-certified spine surgeon and a neurosurgeon. That dual expertise is rare, and it means one expert can guide you across the full spectrum of care — from a simple injection to complex surgery — and recommend what is genuinely best for you, whether you need a spine doctor for conservative care or a surgeon when surgery is truly the answer.
A rare dual credential — so the specialist who treats you can also perform surgery if it's ever needed.
Most patients get better without surgery. We only advance when your condition truly requires it.
No referral needed. We make it straightforward to see a top spine specialist, even out-of-network.
24/7 concierge response and close coordination with personal-injury attorneys.
See a dual board-certified spine surgeon and neurosurgeon in Phoenix promptly to find out whether cervical stenosis surgery is right for you.
Book a Consultation — (602) 566-9500Why is cervical stenosis more serious?
Because it can compress the spinal cord itself (myelopathy), not just a nerve root. The cord doesn't tolerate ongoing pressure well, and symptoms tend to progress — which is why timely decompression matters.
Will I have surgery from the front or the back?
It depends on where and how the cord is compressed. We choose the approach — anterior or posterior — best suited to your anatomy.
Will I need a fusion?
Sometimes, to keep the spine stable after decompression. Whether it's needed depends on your anatomy and the approach used.
Why see a spine surgeon and neurosurgeon?
Cervical stenosis surgery involves the spinal cord directly — exactly the expertise Dr. Greenwald's dual training provides.
Do I need a referral in Phoenix?
No. You can schedule directly with our Phoenix spine specialists, and we welcome out-of-network patients — but don't delay if you have myelopathy symptoms.




Dr. David L. Greenwald, MD
Neuro-Spine Surgeon


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If you’re suffering from neck pain, weakness, or loss of coordination caused by cervical spinal stenosis, expert evaluation and treatment can prevent progression and restore comfort. Dr. Greenwald and his caring team will perform a detailed assessment, explain your options, and determine whether Cervical Stenosis Surgery is right for you. Every step you take toward proper spine care brings you closer to strength, mobility, and relief. Schedule your consultation today and discover how Dr. Greenwald’s advanced surgical expertise can help you regain control of your spine health and quality of life.



Dr. David L. Greenwald, MD, FAANS, FACS, is a board-certified spine surgeon and neurosurgeon with advanced expertise in cervical stenosis surgery. He commonly uses it to treat conditions such as spinal stenosis, myelopathy, and neck pain, which can cause pain, numbness, or weakness. Using advanced, minimally invasive techniques whenever possible, Dr. Greenwald relieves nerve compression and instability while protecting healthy tissue and preserving spinal stability. His skill and patient-centered approach help patients throughout the greater Phoenix, Arizona area experience meaningful pain relief, reduced recovery time, and restored mobility.


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