Cervical disc replacement involves removing a damaged disc in your neck and replacing it with an artificial disc that preserves movement at that level. Unlike fusion which eliminates motion, disc replacement maintains flexibility whilst relieving nerve compression and pain. The surgery is performed from the front of the neck through a small incision. The artificial disc mimics your natural disc’s shock-absorbing and motion-preserving properties. It’s suitable for certain patients with single-level disc problems causing arm pain or myelopathy, though not everyone is a candidate.

Both procedures effectively relieve nerve compression and have good outcomes. Disc replacement’s main advantage is preserving motion at the treated level, which theoretically reduces stress on adjacent discs and may lower the risk of developing problems at neighbouring levels later. However, fusion has a longer track record and remains the gold standard for many situations. The choice depends on factors like your age, the number of levels affected, the degree of arthritis, and bone quality. Dr. Sherief will recommend the most appropriate option based on your specific condition.

Disc replacement isn’t appropriate for everyone. It’s typically not recommended if you have significant facet joint arthritis, osteoporosis, spinal instability, or infection. Patients requiring multi-level surgery sometimes benefit more from fusion. Previous surgery at the same level, certain anatomical variations, or active inflammatory arthritis may also make fusion a safer choice. Age is a consideration, as disc replacement is generally preferred for younger patients who want to maintain flexibility. A thorough assessment including detailed imaging helps determine whether you’re a suitable candidate.

Modern artificial discs are designed to last many years, potentially decades. They’re constructed from durable materials like metal alloys and medical-grade plastics engineered to withstand millions of movements. Long-term studies show good function and durability beyond 10 years, though artificial discs are newer than fusion so very long-term data continues accumulating. Most patients won’t require revision surgery. However, like any implant, there’s a small possibility of wear, loosening, or mechanical problems over time. Regular follow-up allows monitoring of the disc’s performance.

Most patients go home the next day after disc replacement. You’ll have some neck discomfort and might need pain medication for a few weeks. Many people return to desk work within two to four weeks, though heavy lifting should be avoided for longer. Physiotherapy helps restore strength and movement. One advantage over fusion is that you don’t need to wait for bones to heal together, so restrictions are often less stringent. Full recovery typically takes around three months, though many patients notice significant improvement in arm pain almost immediately once the nerve is decompressed.