Abstract

Cervical disc arthroplasty (CDA) has gained tremendous popularity in recent years because of its preservation of segmental motion and the potential to reduce adjacent segment disease (ASD). Appropriate patient selection is the key to a successful CDA. Cervical arthroplasty should be best reserved for patients with one- or two-level cervical disc disease with radiculopathy or early myelopathy who have no other arthropathy or deformity. Moreover, the CDA only replaces the degenerated and herniated disc that caused radiculopathy and is unlikely to alter or decelerate the natural course of degeneration of both the facet joints at the index level or other adjacent segments.

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