FAQs
Our team has also compiled some of the most commonly-asked questions about the process of having your disc replaced — we hope this helps with any questions you may have about the process.
What is cervical total disc replacement?
Cervical total disc replacement — also known as total disc arthroplasty or, artificial disc replacement — is a type of surgery where a damaged disc in the cervical area of the neck is removed and replaced with an artificial one. The artificial disc is designed to mimic the form and function of the spine’s natural disc allowing for more natural motion
What are the benefits of cervical disc replacement?
The benefits of cervical artificial disc replacement include:
Where is cervical disc replacement performed?
Cervical disc replacement is performed through the front of the neck. Your surgeon will make a two-inch incision on the front or side of your neck at positions overlying the area of the neck that is involved. Cervical disc replacement can be performed at C4-5, C5-6, or C6-7. It cannot be performed at C1-C2, C2-C3, C3-C4, or thoracic levels.
Can you have more than one cervical disc replacement?
Yes, cervical disc replacement can be performed at multiple levels. Most insurance companies will approve coverage for one and two level cervical disc replacements.
Are cervical disc replacement implants FDA approved? Which implant will my doctor use?
Yes, there are several FDA-approved disc replacement devices available in the U.S. It’s important to discuss what device options are appropriate for you, as there are several factors a surgeon considers when determining which device to use. The physician will determine which implant is appropriate for you by examining your spinal anatomy, vertebrae size, disc height, and overall spinal stability.
How do I qualify for cervical disc replacement surgery?
Some of the common conditions that may make you a good candidate for surgery include:
- Neck pain with or without arm pain
- Conservative treatment without significant relief of pain
- Degenerative disc disease
- Herniated cervical discs
- Previous disc surgery with continued pain
- Being told you should have a fusion
However, your doctor will be able to discuss with you whether cervical total disc replacement surgery would be an effective option for your specific circumstances.
I was told I need I fusion how do I know if I am a cervical disc replacement candidate?
If you are interested in finding out if you are a good candidate for this procedure, you should get a second opinion. It’s important to discuss artificial disc replacement surgery with a surgeon experienced in both fusion and ADR surgery to determine if it is an appropriate treatment option for you.
Are there any conditions that cervical disc replacement won’t work for?
The causes behind neck pain can be quite complex and interconnected across the disc and surrounding spine. For example, patients with conditions such as scoliosis, ankylosing spondylitis, spinal fractures or significant facet joint disease would not qualify for disc replacement, and might be better served with fusion or other type of treatment. It is also not recommended for patients with previous spinal surgery complications, autoimmune disorders, or patients who are morbidly obese.
Can I have a cervical disc replacement if I am allergic to metals such as nickel?
Yes, there is now a cervical disc replacement that is FDA approved for patient who has a metal allergy to nickel.
What is the recovery process like after cervical disc replacement?
Most patients should be able to return home the morning after the surgery, though there may be some residual pain from the surgery itself. You should be able to return to work within 2-4 weeks and resume most recreational activities after 2-3 months.
Is cervical disc replacement covered by insurance?
Yes, most insurance plans cover cervical disc replacement, except Medicare and Medicaid plans. You should contact your insurance company to learn more about your specific plan coverage.