Procedure · Cervical spine
Cervical Disc Replacement
Removes a problematic cervical disc and places an artificial disc intended to preserve motion at the treated level.
What it is
Cervical disc replacement removes the damaged disc through a front-of-the-neck approach — the same approach used in ACDF — and places an artificial disc designed to allow continued motion at the treated level, rather than fusing it.
Motion preservation is the central idea: keeping the level mobile may reduce the mechanical burden on neighboring levels over time. The implant must match the anatomy precisely to function well.
When it may be considered
Disc replacement may be an option for selected patients with cervical radiculopathy or spinal cord compression and suitable anatomy — typically a single problematic level, preserved alignment, and no significant facet arthritis or instability. Candidacy is strict because the operation must accomplish the same decompression as a fusion while depending on a moving implant.
What to discuss at consultation
- Goals: decompress the nerve or spinal cord while preserving motion at the treated level.
- Alternatives: ACDF remains the comparison standard, especially for multiple levels, poor alignment, or anatomy unsuited to a moving implant.
- Recovery: a cervical collar is commonly worn for a short period — often about two weeks, then a soft collar as needed — with progressive activity.
- Risks: implant-related considerations, long-term wear questions, and the individual risks of surgery, weighed against fusion.
Initial consultation or second opinion?
Bring your imaging and your questions. Dr. Choi will review your diagnosis, walk through your options, and tell you plainly whether surgery is the right next step — and if not, what is.