In the cervical spine, most herniated masses penetrate the deep layer of the posterior longitudinal ligament in the middle, where the posterior intervertebral space is widest. Oblique courses to paramedian or lateral herniation are common. Only at C7-T1, where there are no Luschka joints, lateral penetration was observed. The narrow space of the Luschka joint may prevent fragments from penetrating laterally. Preoperative information from the CT discograms on the characteristic courses of the herniation may facilitate the complete removal of herniated mass in anterior decompressive surgery.