Artificial cervical disc replacement is a motion-preserving alternative to ACDF. Instead of fusing the vertebrae, a damaged disc is replaced with a prosthetic device that mimics the neck’s natural movement — potentially reducing the risk of adjacent segment degeneration, a common long-term concern with cervical fusion.
The surgical approach is identical to ACDF — a small incision in the front of the neck. The damaged disc is completely removed, decompressing the nerves and spinal cord. Rather than placing a spacer for fusion, an artificial disc prosthesis is implanted that allows continued motion at the treated level. Most patients go home the following morning or the same day.
Recovery is similar to ACDF. Arm pain relief is often immediate. Most patients return to desk work within 1–2 weeks and full activity within 4–6 weeks. Prolonged immobilization is not required — maintaining motion is the goal.
Dr. Cho evaluates each patient without bias toward fusion or replacement, providing an honest assessment of which option will deliver the best long-term outcome for your specific condition and anatomy.
