Pros and Cons of Cervical Artificial Disc Replacement  

January 2, 2025
Dr Christopher Yeung
BY Christopher A. Yeung, M.D.
 
Dr. Christopher Yeung is a board-certified, fellowship-trained orthopedic spine surgeon, with a special interest in minimally invasive spine surgery techniques with a philosophy of choosing the least invasive yet most effective method to treat spine problems.
 

    

If you’re reading this, chances are you’ve been living with chronic neck pain, perhaps caused by conditions like degenerative disc disease, herniated discs or cervical radiculopathy. The discomfort can range from mild annoyance to debilitating pain, affecting everything from your ability to work to your quality of life. But you’re here because you’ve reached a crossroads — you’re considering cervical artificial disc replacement (ADR) as a solution.

It’s understandable if you’re feeling a bit uncertain. The decision to undergo surgery is never easy, especially when it involves your spine, a vital part of your body. You want to feel better, but you also need to know if it’s the right procedure for you. We’ll explore the pros and cons of cervical disc replacement to help you make an informed decision.      

The Pros of Cervical Artificial Disc Replacement

Treating your neck and spine conditions can bring much-needed relief and mobility back to your life. Here are the top advantages of cervical ADR.

1. Preservation of Neck Motion

For many patients, the most significant advantage of cervical ADR is the preservation of motion. During spinal fusion surgery, the two vertebrae are fused together, essentially locking that portion of your neck in place. It works well for pain relief, but it compromises flexibility. This can limit your range of motion and lead to discomfort when performing everyday tasks, such as turning your head to check your blind spot while driving or looking down at your phone for a long period.

Cervical ADR, however, preserves natural motion by replacing the damaged disc with an artificial one that mimics the flexibility of a healthy disc. This means that after surgery, you can maintain neck mobility — a huge advantage if you value functionality in your life. You’ll likely find it easier to get back to the things you love doing, whether it’s exercising, spending time with your family or simply living without the discomfort that has held you back.

2. Reduced Risk of Adjacent Segment Disease

Adjacent segment disease is a common complication for patients who undergo spinal fusion surgery. When two vertebrae are fused together, the added stress on the nearby discs can cause them to wear out faster, leading to pain or degeneration in other parts of the spine. This can create a vicious cycle of surgeries to address new issues.

With cervical ADR, your spine retains its normal range of motion. As such, it reduces the likelihood of adjacent segment disease, allowing the rest of your spine to function as it should. This is particularly beneficial for those who want a long-term solution without the need for future interventions. Your neck stays more stable and healthier over time.

3. Quicker Recovery Time

If you’ve been dealing with neck pain for a long time, you know how frustrating it can be to wait for relief. With cervical ADR, you’re looking at a faster recovery compared to traditional spinal fusion surgery. The minimally invasive nature of the procedure means less muscle disruption, less pain and a quicker recovery period.

Most patients return to light activities within a few weeks and are back to normal daily activities within two to three months. This is a stark contrast to spinal fusion, which often involves a much longer recovery time and movement restrictions for several months. Cervical ADR offers a quicker path to recovery so you can get back to your life sooner.

4. Immediate Pain Relief

One of the most appealing aspects of cervical ADR is the immediate relief it provides. Once the damaged disc is removed and replaced with an artificial one, the pressure on surrounding nerves is relieved. Many patients report feeling substantial pain relief within days of the surgery.

This is significant for those suffering from cervical radiculopathy, where nerve pain radiates down the arms. The decompression of the nerve often leads to nearly instant relief from the burning, tingling or weakness in the arms.

In contrast, spinal fusion typically takes much longer to provide noticeable pain relief since the vertebrae need time to heal and stabilize.

5. Improved Long-Term Quality of Life

Cervical ADR helps with both immediate pain relief and long-term functionality. Because the artificial disc mimics the natural movement of a healthy disc, patients often report an improvement in their overall quality of life.

They can go back to performing activities with fewer limitations, whether it’s exercising, working, cooking or playing with their children. Besides reducing pain, the procedure also improves your ability to move and live freely.

The Cons of Cervical Artificial Disc Replacement

All surgeries have potential downsides and may not be the best option for your spine or back conditions. Here’s what you should know about the challenges of artificial disc replacement.

1. Not for Everyone

If you suffer from severe spinal deformities, spinal instability or bone loss, cervical ADR may not be an option for you. This procedure is most effective for patients with single-level disc degeneration, meaning just one disc in the cervical spine is damaged.

However, if multiple discs are involved, spinal fusion might be necessary or a combination of procedures may be recommended. It’s important to consult with a skilled spine surgeon to determine if you’re a good candidate for cervical ADR. Your provider will go over the potential pros and cons of spinal fusion versus ADR and determine a treatment plan.

2. Risk of Complications

As with any surgery, there are risks. Although complications from cervical ADR are rare, they can include:

  • Infection at the incision site.
  • Nerve or blood vessel damage during surgery.
  • Blood clots due to reduced mobility after surgery.
  • Artificial disc malfunction, which could require additional surgery.

It’s essential to discuss these risks with your surgeon, particularly if you have underlying health conditions that might complicate recovery. Knowing what to expect can help you prepare and make the decision with confidence.

3. Cost Considerations

While cervical ADR can provide lasting relief, it comes at a higher cost than spinal fusion. The procedure includes the cost of the artificial disc, hospital stay, surgeon fees, and any rehabilitation or physical therapy needed afterward.

Although insurance may cover a large portion of the cost, it’s important to check with your provider to understand what will be covered and what you might need to pay out of pocket. The financial aspect can be a significant consideration for many people, so factor this into your decision-making process.

4. Durability of the Artificial Disc

While most artificial discs are designed to last for many years, their long-term durability is still being studied. Some patients may experience wear and tear on the artificial disc, which could require further surgery in the future.

This is rare, but it’s something to consider when making a decision. The artificial disc’s life span will depend on various factors, including your activity level and the type of disc used.

Is Cervical Artificial Disc Replacement Right for You?

Cervical ADR offers a range of benefits for patients who want to preserve motion, achieve faster recovery times and improve their long-term functionality. It is an excellent option for individuals with single-level disc degeneration, as it can provide immediate pain relief and long-lasting results. 

However, it’s not right for everyone. The decision to undergo this treatment involves weighing the pros and cons of cervical ADR against your specific condition. It’s crucial to consult with an experienced spine surgeon who can evaluate your health and guide you in making the best choice for your future.

Contact Desert Institute for Spine Care Today

Choosing cervical artificial disc replacement is about more than just addressing neck pain — it’s about getting your life back. If you’re tired of being limited by pain and immobility, this procedure may offer the relief and flexibility you’ve been seeking.

While there are risks and costs to consider, the potential for quicker recovery, better functionality and long-term relief makes it a compelling option for many. At Desert Institute for Spine Care (DISC), we are trusted leaders in the gamut of spine surgery. We utilize the most innovative, effective and minimally invasive treatments to address your condition.

Contact us for a consultation today or schedule a virtual second opinion

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