A pinched nerve in the neck at the C5-C6 and C6-C7 levels occurs when the nerves in the cervical spine are compressed due to a bulging or damaged disc. This condition can cause symptoms such as neck pain radiating to the shoulders and arms, tingling, numbness, and muscle weakness in the hands. In some cases, daily activities like lifting objects or even moving the neck can become uncomfortable.
To treat this condition, neurosurgeon at Mandaya Royal Puri Hospital, dr. Christian Ariono, Sp.BS-FTB, FINSS, FINPS, FICS, is experienced in performing arthrospine endoscopic spine surgery using a single-incision technique. This method helps relieve nerve compression more effectively, allowing patients to return to their daily activities more comfortably.
Contents
What is the arthrospine technique for cervical pinched nerve?
Arthrospine endoscopic spine surgery is a modern minimally invasive surgical technique used to treat conditions such as herniated discs (HNP or Herniated Nucleus Pulposus). This procedure utilizes an endoscopic tool (a micro camera) to visualize the spine on a high-resolution monitor, enabling precise decompression of the affected nerve.
“This morning we will perform arthrospine endoscopic spine surgery at C5-C6 and C6-C7. So we will treat two levels, but the plan is to use only one incision. From a single incision, we can reach both target areas directly,” said dr. Christian Ariono.
“This patient’s main complaint is pain radiating from the shoulder down to the fingers. During the procedure, I will be assisted by dr. Djung Lilya Wati, Sp.N, a neurologist who will monitor the patient’s nerve function using IONM (Intraoperative Neuro Monitoring),” he added.
Advantages and steps of the arthrospine procedure
Some of the key benefits and steps of arthrospine include:
- Performed using a very small incision (minimally invasive)
- Utilizes specialized instruments for high-precision access to the nerve area
- Relieves pressure on the nerve without damaging surrounding healthy tissue
- Reduces the risk of bleeding and post-operative pain
- Supports faster recovery and patient mobility
Safer pinched nerve surgery with IONM technology at Mandaya Royal Puri Hospital
IONM (Intraoperative Neuro Monitoring) is a nerve monitoring system used during cervical spine surgery to help maintain nerve safety. During the procedure, it records nerve activity in real-time, allowing doctors to monitor nerve function and critical pathways related to movement and sensation. This enables more precise surgical actions while minimizing the risk of nerve injury.
“With IONM monitoring, we observe nerve conditions through muscle responses. So far, we can see there is no irritation, and the nerve signals appear stable, which gives us confidence,” said dr. Djung.
“If any issue occurs, we can immediately inform the surgeon, for example if the nerve is irritated. The procedure can be paused to ensure whether the maneuver is causing the irritation. This helps minimize the risk of nerve function disturbances as a complication,” she added.
For patients, the use of IONM provides an additional layer of safety during surgery. Any changes in nerve function can be detected early, allowing doctors to adjust the procedure immediately if needed. This helps reduce the risk of complications such as muscle weakness, prolonged tingling, or other nerve-related issues, while also providing reassurance due to continuous monitoring.
Profile and practice schedule of dr. Christian Ariono at Mandaya Royal Puri Hospital
dr. Christian Ariono, Sp.BS, FICS is a neurosurgeon with extensive experience in treating various cases of pinched nerves, particularly in the neck and spine. He is also skilled in performing nerve tumor surgeries, managing cerebrovascular disorders, and treating other neurological conditions, including meningitis.
As a member of the Indonesian Medical Association (IDI) and the Indonesian Society of Neurosurgeons (PERSPEBSI), dr. Christian is proficient in various modern neurosurgical techniques. He is experienced in procedures such as arthrospine and Anterior Cervical Discectomy and Fusion (ACDF) for more complex cases of nerve compression.
dr. Christian Ariono, Sp.BS, FICS is available at Mandaya Royal Puri Hospital on:
- Monday: 08:00 AM – 04:00 PM
- Tuesday: 08:00 AM – 12:00 PM
- Wednesday: 08:00 AM – 04:00 PM
- Thursday: 08:00 AM – 04:00 PM
- Friday: 08:00 AM – 04:00 PM
- Saturday: 08:00 AM – 04:00 PM
For your convenience, you can use the WhatsApp Chat feature, Book Appointment service, or the Care Dokter app available on Google Play and the App Store to schedule visits, check queue numbers, and access more information.
The information provided on this page is for educational purposes and general overview only, and may not represent all medical services offered by each doctor. For accurate diagnosis and treatment, it is recommended to consult directly with the respective doctor.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
