Cervical disc arthroplasty: tips and tricks

Int Orthop. 2019 Apr;43(4):777-783. doi: 10.1007/s00264-018-4259-2. Epub 2018 Dec 5.


Cervical disc arthroplasty (CDA) is a powerful, motion-sparing treatment option for managing cervical radiculopathy or myelopathy. While CDA can be an excellent surgery for properly indicated patients, it is also less forgiving than cervical fusion. Optimally resolving patient symptoms while maintaining range of motion relies on near perfection in the surgical technique. Different CDA options exist on the market, with some having long-term proven success and others in early stages of clinical trials. We discuss the different options available for use, as well as strategies of positioning, approach, disc space preparation, implantation, and fusion prevention that we believe can help improve performance and outcomes of CDA.

Keywords: Artificial disc replacement; Cervical disc arthroplasty; Cervical disc replacement.

Publication types

  • Review

MeSH terms

  • Arthroplasty* / methods
  • Cervical Vertebrae* / surgery
  • Humans
  • Intervertebral Disc Degeneration / surgery
  • Radiculopathy / surgery
  • Range of Motion, Articular
  • Spinal Cord Diseases / surgery
  • Spinal Diseases* / surgery
  • Spinal Fusion* / methods
  • Treatment Outcome