Schwannomas are the most common benign nerve sheath tumors, accounting for approximately one-third
of all primary spinal neoplasms. Although more frequent in the lumbar region, they may also involve the
thoracic and cervical spine. Cervical schwannomas can pose significant surgical challenges, especially
in cases of neurovascular compression and bone destruction. We report the case of a 41-year-old female
patient with no prior comorbidities, presenting a right-sided C5–C6 schwannoma associated with facet
joint destruction and vertebral artery compression. Surgical treatment included tumor resection and
posterior arthrodesis to prevent long-term spinal instability.