Cervical Disc Replacement

Reviewed by our Healthcare Team Member

Daniel Birk, MD

Daniel M. Birk, M.D., FAANS is a Board Certified Neurosurgeon specializing in complex and minimally invasive spinal surgery. He treats a variety of spinal conditions, such as lumbar stenosis, cervical stenosis, scoliosis, herniated discs, radiculopathy, myelopathy, spondylolisthesis, spondylolysis, spinal metastasis, failed spinal fusion, and spinal trauma.

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What is Cervical Disc Replacement?

Cervical disc replacement (also called cervical disc arthroplasty) is a surgery in which a damaged disc in the neck is removed and replaced with an artificial disc. Unlike spinal fusion, a disc replacement is designed to maintain motion at that level of the spine. This procedure is typically performed in the cervical spine (neck region).

Why Cervical Disc Replacement May Be Recommended

Your provider may consider disc replacement if you have:

  • A herniated disc in the neck
  • Cervical radiculopathy (pinched nerve)
  • Neck and arm pain from disc degeneration
  • Numbness, tingling, or weakness in the arm

It is generally considered for otherwise healthy patients with one or two levels of disc disease who have not improved with nonsurgical treatments.

Not everyone is a candidate. Severe arthritis, spinal instability, osteoporosis, or certain deformities may make fusion a better option.

How the Procedure Works

During cervical disc replacement:

  • A small incision is made in the front of the neck.
  • The damaged disc is removed.
  • The nerves and spinal cord are fully decompressed.
  • An artificial disc device is placed into the disc space.
  • The artificial disc allows controlled movement, aiming to preserve natural neck motion.

Potential Benefits

Patients may experience:

  • Relief of neck and arm pain
  • Improvement in numbness or weakness
  • Preserved motion at the treated level
  • Lower risk of adjacent-level degeneration compared with fusion (in some patients)

Pain relief may occur quickly, but recovery is individualized.

Recovery Expectations

Recovery varies, but many patients:

  • Go home the same day or after one night
  • Gradually resume normal activity over a few weeks
  • Begin physical therapy if recommended

Your surgeon will provide specific guidance on lifting and movement.

Risks and Possible Complications

Possible risks may include:

  • Infection
  • Bleeding
  • Difficulty swallowing (usually temporary)
  • Hoarseness
  • Implant-related issues
  • Persistent symptoms
  • Nerve or spinal cord injury (rare)

Your surgeon will review your individual risk factors with you.


Related Conditions

  • Cervical disc herniation
  • Cervical radiculopathy
  • Cervical myelopathy
  • Degenerative disc disease

Related Procedures / Treatments

  • ACDF
  • Posterior cervical decompression
  • Physical therapy
  • Pain management

Educational Disclaimer: This page is for patient education only and is not a substitute for professional medical advice.