Most ruptured cervical discs are operated on by an anterolateral approach.
The posterior approach is an older procedure, nowadays underused because it
was associated with a high morbidity, especially in terms of medullary com
plications. However, posterior approach has evolved in posterolateral route
, which is not so devastating and has a very low morbidity rate. It gives e
xcellent functional results when surgery is dedicated to monoradiculopathy
from soft posterolateral cervical hernias. If seems appropriate to consider
this surgical route as an alternative to anterolateral surgery in these ve
ry selected cases. The authors describe and comment the technique.