Abstract
Summary Anterior cervical discectomy and fusion is a reliable procedure with excellent clinical and radiological outcomes in 85-95% of the patients. [35,36] It is a procedure with a low peri – and postoperative complication rate. [5,6,7] Thus, these results will be hard to beat by any type of total disc replacement. The crucial points which will probably decide the fate of total cervical disc replacement is the percentage of spontaneous fusion over time, the limitations in restoring disturbed curvatures, intraoperative technology and last not least the pricing of the implants. So far , it seems to be promising technology in the cervical spine as in the lumbar spine which however has to stand the proof of time.
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