Abstract
BACKGROUND CONTEXT: Recently, a FDA sponsored prospective randomized clinical trial (RCT) evaluated patients treated with single level cervical artificial disc replacement (ADR) versus anterior diskectomy and fusion. The ADR group demonstrated superior outcomes with maintained cervical motion and the absence of adjacent cervical degeneration at two year follow-up. Data has not been reported on patients receiving ADR adjacent to fusion constructs or for patients who have greater than one level disease.
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