Abstract
BACKGROUND CONTEXT: Anterior cervical discectomy and fusion (ACDF) for spondylosis of the cervical spine with radiculopathy or myelopathy is one of the most successful operations performed in treatment of the degenerative spine. The rate of symptomatic adjacent segment disease that occurs in the future—close to 30%, with a reoperation rate of 2.9% per year—is concerning. The cervical disc replacement may provide a reconstructive alternative for the anterior cervical spine that may prove to provide an impact in the development of adjacent segment disease.
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