Cervical Disc Herniation in the Elderly

Question: Is cervical disc herniation common at advanced age?

Answer: It is less common after age 70; when present it is usually associated with:

  • Long-standing degeneration
  • Osteophytes (calcification)
  • Osteoporosis

Question: What should be considered in treatment?

Answer:

  • Bone quality (osteoporosis)
  • Accompanying chronic diseases (e.g., diabetes)
  • Degree of nerve compression

Because postoperative complication rates can be higher in older patients compared with younger ones, patient selection and planning are critically important.