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Surgeons use two techniques to relieve symptoms of degenerative cervical disc — cervical fusion surgery (also known as anterior cervical disc fusion or ACDF) and cervical disc replacement surgery. Both can relieve pain, weakness, and numbness. The difference lies in the lasting effect on your range of motion.
With both techniques, the doctor will access the cervical spine through the front of the neck and remove the deteriorated disc. The next step depends on the technique:
See the charts below to compare the results of cervical fusion and cervical disc replacement two years after the surgery.
The first chart shows results using cervical disc replacement at two adjacent levels. The trial was prospective (looking forward in time) and involved 397 patients (209 patients who received the artificial cervical disc at two adjacent levels and 188 patients who underwent ACDF at two adjacent levels).
The second chart shows results using cervical disc replacement at a single level. This prospective (looking forward in time), non-randomized study was conducted in the United States and involved 545 patients with 280 investigational patients receiving an artificial cervical disc and 265 control patients who had received ACDF in a study that had been done earlier.
Results at 2 Years | Artificial Disc 2-Level | ACDF |
---|---|---|
Overall Success |
81.4% or 162/199 |
69.4% or 111/160 |
Average Degree of Motion |
51% had more than 4 degrees of motion* |
|
Severe Complications |
1.9% or 4/209 |
5.9% or 11/185 |
Rate of Additional Surgery at Treated Level |
2.4% or 5/209 |
8% or 15/188 |
Post-Op Neurological Exam = The Same or Improved |
91.5% or 192/199 |
86.2% or 137/159 |
Median Return to Work |
6 days sooner |
Results at 2 Years | Artificial Disc 1-Level | ACDF |
---|---|---|
Overall Success |
70.4 % or 159/224 |
63.2% or 108/171 |
Average Degree of Motion |
7.51 degrees of motion (range was 0 to 26 degrees) compared to 5.67 degrees prior to surgery |
|
Rate of Additional Surgery at Treated Level |
5% |
8% |
Median Return to Work |
20 days sooner |
Decide the best surgical option for you by:
Once you have gathered information and discussed the options with your doctor, you will maximize your chances for a positive outcome and return to feeling better.
Need help finding a neck surgeon? Use our handy "Find a Specialist" tool to find a surgeon near you.
100 out of 196 (51.0%) had more than four degrees of motion at both treated levels while bending the head forward to backward (flexion-extension).
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.