{"id":19926,"date":"2022-03-04T08:00:35","date_gmt":"2022-03-04T15:00:35","guid":{"rendered":"https:\/\/www.sciatica.com\/?p=19926"},"modified":"2026-03-20T12:31:35","modified_gmt":"2026-03-20T12:31:35","slug":"5-key-points-to-understand-about-cervical-artificial-disc-replacement-adr","status":"publish","type":"post","link":"https:\/\/www.sciatica.com\/blog\/5-key-points-to-understand-about-cervical-artificial-disc-replacement-adr\/","title":{"rendered":"5 Key Points to Understand About Cervical Artificial Disc Replacement (ADR)"},"content":{"rendered":"\n        <section id=\"wysiwyg-block_15bd4ffd1c4d0e4ac5845d2aca07040f\" class=\"wysiwyg white section-padding  bg-white js-animated-text-container\">\n\n            \n        \t<div class=\"container\">\n        \t\t<div class=\"row\">\n                                \t\t\t<div class=\"col-md-10 col-md-offset-1\">\n                            \t\t\t\t<div class=\"wysiwyg__content\">\n        \t\t\t\t\t<div class=\"tm-grid-expand uk-child-width-1-1 uk-grid-margin uk-grid uk-grid-stack\">\n<div class=\"uk-width-1-1 uk-first-column\">\n<div>\n<div class=\"el-meta uk-text-meta uk-margin-top\"><img decoding=\"async\" class=\"size-medium wp-image-21794 alignleft\" style=\"color: #111111; font-weight: bold;\" src=\"https:\/\/www.sciatica.com\/wp-content\/uploads\/2023\/03\/Nima-Salari-min-200x300.jpeg\" alt=\"\" width=\"200\" height=\"300\" \/><\/div>\n<div class=\"el-meta uk-text-meta uk-margin-top\"><strong>BY <\/strong><span style=\"font-size: 12pt; color: #111111; font-weight: bold;\">Nima Salari, M.D. FAAOS<\/span><\/div>\n<div>\u00a0<\/div>\n<div class=\"el-meta uk-text-meta uk-margin-top\">Dr. Salari is a Board-Certified, Fellowship-Trained Orthopedic Spine Surgeon with specialized training in the operative and non-operative treatment of pathologic conditions affecting the spine. He specializes in ultra-minimally invasive endoscopic spine surgery and cervical artificial disc replacement.<\/div>\n<div>\u00a0<\/div>\n<div class=\"uk-margin-small-top\"><a class=\"el-link btn btn-primary\" href=\"https:\/\/www.sciatica.com\/our-team\/nima-salari-m-d\/\">View Bio<\/a><\/div>\n<div>\u00a0<\/div>\n<\/div>\n<div>\u00a0<\/div>\n<\/div>\n<div><img decoding=\"async\" src=\"https:\/\/app.webfx.com\/uploads\/260076041\" \/><\/div>\n<\/div>\n<div class=\"tm-grid-expand uk-child-width-1-1 uk-grid-margin uk-grid uk-grid-stack\">\n<div class=\"uk-width-1-1 uk-first-column\">\n<p>If you are considering treatment options for cervical disc problems, you&#8217;ve likely heard about fusion surgery and newer alternatives. Let&#8217;s explore five important things you need to know about\u00a0<a href=\"https:\/\/www.sciatica.com\/spine-treatments\/cervical-artificial-disc-replacement\/\" target=\"_blank\" rel=\"noopener noreferrer\">cervical artificial disc replacement<\/a>\u00a0(ADR) \u2014 a motion-preserving procedure that could change how you think about spine surgery.<\/p>\n<p>ADR surgery is a procedure that removes a damaged, degenerative disc and replaces it with an artificial disc. The artificial disc is designed to preserve motion in your neck, treating conditions like cervical radiculopathy and\u00a0<a href=\"https:\/\/www.sciatica.com\/blog\/what-is-myelomalacia\/\" target=\"_blank\" rel=\"noopener noreferrer\">myelopathy<\/a>. This innovative approach is designed to help reduce pain, weakness and numbness while avoiding the stiffness that comes with traditional fusion surgery.<\/p>\n<h2>1. ADR Is Designed to Replicate Natural Biomechanics<\/h2>\n<p>Unlike fusion, which locks bones together, FDA-approved artificial discs are sophisticated devices engineered to mimic the biomechanics of a natural human disc.<\/p>\n<p>Traditional fusion uses static spacers, plates and screws designed to stop motion entirely. Sophisticated cervical artificial disc replacement implant devices like the next-generation\u00a0<a href=\"https:\/\/www.sciatica.com\/spine-treatments\/artificial-disc-replacement-surgery\/next-generation-m6-c-artificial-cervical-disc\/\" target=\"_blank\" rel=\"noopener noreferrer\">M6-C\u2122 artificial cervical disc<\/a>\u00a0use medical-grade materials specifically chosen for their biocompatibility and longevity:<\/p>\n<ul>\n<li class=\"ck-list-marker-color\" data-list-item-id=\"eb09e7cfdc2da6fc91cc5c08c764a1b0d\">\n<p><strong>Titanium or cobalt chromium:<\/strong>\u00a0These materials are used for the endplates that attach securely to the vertebrae.<\/p>\n<\/li>\n<li class=\"ck-list-marker-color\" data-list-item-id=\"e4404b735219497483209e94c0e30687d\">\n<p><strong>Medical-grade polyethylene or ceramic:<\/strong>\u00a0They are used for the inner core and allow smooth gliding and rotation.<\/p>\n<\/li>\n<\/ul>\n<p>The ball-and-socket design allows for six degrees of freedom \u2014 compression, extension, rotation and bending in multiple directions. This design acts as a shock absorber to protect the spinal cord while maintaining the natural movement patterns your neck was designed for.\u00a0<\/p>\n<p>Unlike fusion, which transfers stress to adjacent levels, cervical disc replacement surgery distributes forces more naturally throughout your spine.<\/p>\n<h2>2. It Is a Minimally Invasive, Motion-Sparing Procedure<\/h2>\n<p>This procedure aligns with modern\u00a0<a href=\"https:\/\/www.sciatica.com\/spine-treatments\/minimally-invasive-spine-surgery\/\" target=\"_blank\" rel=\"noopener noreferrer\">minimally invasive spine surgery<\/a>\u00a0principles, prioritizing tissue preservation and long-term spinal health.<\/p>\n<p>One of the most significant advantages of artificial disc replacement is the peace of mind it provides. Knowing that your surgery was designed to minimize stress on the adjacent levels of your spine offers psychological relief that extends far beyond the operating room.\u00a0<\/p>\n<p>Long-term studies show significantly lower reoperation rates for ADR patients \u2014 about\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10676167\/\" target=\"_blank\" rel=\"noopener noreferrer\">3% compared to 12.3%<\/a>\u00a0for fusion patients. This dramatic difference is because disc replacement<strong>\u00a0<\/strong>procedures preserve the natural load distribution across spinal segments, preventing the accelerated wear that often affects levels above and below a fusion.<\/p>\n<h2>3. Strict Criteria Determine if You Are a Candidate<\/h2>\n<\/div>\n<\/div>\n\n                                                        \n        \t\t\t\t<\/div>\n        \t\t\t<\/div>\n        \t\t<\/div>\n        \t<\/div>\n\n               \n        \t\n        <\/section>\n\n\n\n<div class=\"container\"><div class=\"row\"><div class=\"col-xxs-12\">\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"469\" src=\"https:\/\/www.sciatica.com\/wp-content\/uploads\/2022\/03\/02-strict-criteria-determine-if-you-are-a-candidate-1024x469.jpg\" alt=\"\" class=\"wp-image-51518\" srcset=\"https:\/\/www.sciatica.com\/wp-content\/uploads\/2022\/03\/02-strict-criteria-determine-if-you-are-a-candidate-1024x469.jpg 1024w, https:\/\/www.sciatica.com\/wp-content\/uploads\/2022\/03\/02-strict-criteria-determine-if-you-are-a-candidate-300x138.jpg 300w, https:\/\/www.sciatica.com\/wp-content\/uploads\/2022\/03\/02-strict-criteria-determine-if-you-are-a-candidate-768x352.jpg 768w, https:\/\/www.sciatica.com\/wp-content\/uploads\/2022\/03\/02-strict-criteria-determine-if-you-are-a-candidate.jpg 1200w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n<\/div><\/div><\/div>\n\n\n        <section id=\"wysiwyg-block_35157be24633874aafcd1efa9b905d89\" class=\"wysiwyg white section-padding  bg-white js-animated-text-container\">\n\n            \n        \t<div class=\"container\">\n        \t\t<div class=\"row\">\n                                \t\t\t<div class=\"col-md-10 col-md-offset-1\">\n                            \t\t\t\t<div class=\"wysiwyg__content\">\n        \t\t\t\t\t<p>While cervical artificial disc replacement is highly effective for treating compressed nerves at levels like\u00a0<a href=\"https:\/\/www.sciatica.com\/blog\/cervical-spine-treatments\/\" target=\"_blank\" rel=\"noopener noreferrer\">C5 and C6<\/a>, proper patient selection is the single most important factor for a successful outcome.<\/p>\n<p>The ideal candidate typically meets the following criteria:<\/p>\n<ul>\n<li class=\"ck-list-marker-color\" data-list-item-id=\"ebc12764d7614d4fefeb96d20bf21175a\">\n<p><strong>Healthy facet joints:<\/strong>\u00a0Because the artificial disc keeps the spine moving, the hinges of the spine,\u00a0<a href=\"https:\/\/www.sciatica.com\/spine-conditions\/facet-joint-syndrome\/\" target=\"_blank\" rel=\"noopener noreferrer\">called facet joints<\/a>, must be healthy. If a patient has severe arthritis in these joints, keeping them moving would cause continued pain.<\/p>\n<\/li>\n<li class=\"ck-list-marker-color\" data-list-item-id=\"eca96ce1b22576aec074639517bed1393\">\n<p><strong>Good bone quality:<\/strong>\u00a0The artificial device needs strong bone to anchor into.\u00a0<a href=\"https:\/\/www.sciatica.com\/spine-conditions\/osteoporosis-treatment-in-arizona\/\" target=\"_blank\" rel=\"noopener noreferrer\">Patients with severe osteoporosis<\/a>\u00a0may not have the bone density required to support the implant.<\/p>\n<\/li>\n<li class=\"ck-list-marker-color\" data-list-item-id=\"ea945aaa4d099bc239be3c9ca03a84320\">\n<p><strong>Absence of instability:<\/strong>\u00a0The spine must be stable to handle the range of motion provided by the artificial disc.<\/p>\n<\/li>\n<li class=\"ck-list-marker-color\" data-list-item-id=\"e43e936ccfdbb994099454c6e8963696f\">\n<p><strong>Lack of bridging bone:<\/strong>\u00a0Patients with extensive bony growths that have already naturally fused parts of the spine may not benefit from an attempt to restore motion.<\/p>\n<\/li>\n<\/ul>\n<p>Your surgeon will evaluate your specific anatomy using advanced imaging techniques, like magnetic resonance imaging (MRI) and computed tomography (CT) scans. This thorough assessment ensures that ADR surgery is an appropriate choice for your unique spinal condition, maximizing your chances for optimal outcomes.<\/p>\n<h2>4. Recovery Is Often Faster Than Fusion<\/h2>\n<p>Recovery times vary between patients, but individuals often return to recreational activities sooner than fusion patients. This is because there is no bone graft that needs to heal and fuse.\u00a0<a href=\"https:\/\/www.sciatica.com\/blog\/cervical-artificial-disc-replacement-recovery-time\/\" target=\"_blank\" rel=\"noopener noreferrer\">Cervical artificial disc replacement recovery time<\/a>\u00a0is typically more predictable and allows for earlier mobility. Key advantages include:<\/p>\n<h3>Resuming Physical Activities Sooner<\/h3>\n<p>One reason patients choose ADR surgery over fusion is the desire to enjoy life again. For many, the goal is getting back to the golf course, the tennis court or playing with grandchildren without fear of stiffening up. The return to physical activity following a disc replacement follows a more natural progression because the spine isn&#8217;t permanently locked in place.<\/p>\n<p>Unlike fusion patients who must wait months for bone healing before resuming full activities, disc replacement patients can gradually increase their activity levels as soft tissues heal, typically within six to 12 weeks. Reviews indicate exceptionally high\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10126923\/\" target=\"_blank\" rel=\"noopener noreferrer\">return-to-play rates of 96%<\/a>\u00a0to 100% for athletes undergoing cervical disc replacement. This success rate reflects the procedure&#8217;s ability to keep your neck moving naturally while helping reduce pain and improve function. This allows you to return to the physical activities you love.\u00a0<\/p>\n<h3>Enhanced Peace of Mind<\/h3>\n<p>Beyond the physical benefits, there is a significant psychological advantage. Knowing that your surgery was designed to minimize stress on the adjacent levels of your spine can provide peace of mind. Patients can often engage in range-of-motion activities with more confidence, knowing they have chosen a solution that works with their body&#8217;s natural mechanics.<\/p>\n<h2>5. Long-Term Safety and Risks<\/h2>\n<p>Cervical ADR has established a strong safety profile and is now FDA-approved for use in up to two adjacent levels of the spine.<\/p>\n<p>For patients with multiple-level cervical disease,\u00a0two-level\u00a0disc replacement in the neck\u00a0offers an excellent alternative to multilevel fusion. Clinical trials support that\u00a0<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11173267\/\" target=\"_blank\" rel=\"noopener noreferrer\">two-level ADR is a safe<\/a>\u00a0and effective procedure.<\/p>\n<p>The FDA approval for two-level procedures represents years of rigorous clinical testing and validates the long-term durability of these devices. This approval gives both surgeons and patients confidence in treating more complex spinal conditions while preserving natural motion.<\/p>\n<p>Like any surgical procedure, cervical disc replacement has\u00a0<a href=\"https:\/\/www.sciatica.com\/blog\/pros-and-cons-of-cervical-artificial-disc-replacement\/\" target=\"_blank\" rel=\"noopener noreferrer\">advantages and potential risks<\/a>\u00a0that should be carefully considered under your surgeon&#8217;s guidance.<\/p>\n<h2>Why You Should Get a Second Opinion<\/h2>\n<p>Don&#8217;t feel pressured to accept a fusion diagnosis without exploring all your options. Many patients benefit from seeking a second opinion to explore motion-preserving alternatives like cervical disc replacement surgery. Every spine condition is unique, and what works best for one patient may not be optimal for another.<\/p>\n<p>At DISC, our goal is to find the least invasive solution that yields the best long-term result for your specific situation. Our patient-centered approach means you receive the most appropriate treatment for your lifestyle and physical needs.<\/p>\n<h2>Take the Next Step With Confidence<\/h2>\n<p>Cervical artificial disc replacement is a significant advancement in spine surgery, offering a viable motion-preserving alternative to traditional fusion for appropriately selected patients. This procedure addresses the root cause of cervical disc problems while maintaining your spine&#8217;s natural movement patterns.<\/p>\n<p><a href=\"https:\/\/www.sciatica.com\/about-us\/\" target=\"_blank\" rel=\"noopener noreferrer\">DISC has extensive experience<\/a>\u00a0with artificial disc replacement procedures and the expertise to help determine if you are a candidate for this innovative treatment. If you are suffering from cervical disc problems and want to explore motion-preserving alternatives to fusion,\u00a0<a href=\"https:\/\/www.sciatica.com\/contact\/\" target=\"_blank\" rel=\"noopener noreferrer\">schedule an appointment<\/a>\u00a0at one of\u00a0<a href=\"https:\/\/www.sciatica.com\/about-us\/arizona-locations\/\" target=\"_blank\" rel=\"noopener noreferrer\">our Arizona locations<\/a>\u00a0to discuss whether ADR surgery is right for you.<\/p>\n<p><a href=\"https:\/\/www.sciatica.com\/contact\/\"><img decoding=\"async\" src=\"https:\/\/app.webfx.com\/uploads\/260076042\" \/><\/a><\/p>\n\n                                                        \n        \t\t\t\t<\/div>\n        \t\t\t<\/div>\n        \t\t<\/div>\n        \t<\/div>\n\n               \n        \t\n        <\/section>\n\n","protected":false},"excerpt":{"rendered":"<p>Cervical artificial disc replacement\u00a0or cervical total disc arthroplasty is an innovative surgical procedure that removes a damaged\u00a0degenerative disc\u00a0and replaces it with an artificial disc. The artificial disc was designed to preserve motion in your neck.<\/p>\n","protected":false},"author":4,"featured_media":27530,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"footnotes":""},"categories":[28,33,53,61,90],"tags":[],"class_list":["post-19926","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nima-salari","category-neck-pain","category-fusion-alternatives","category-adr","category-second-opinion"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Five Key Points About Cervical Artificial Disc Replacement<\/title>\n<meta name=\"description\" content=\"Were you told you need a cervical spine fusion? Get a second opinion from DISC and see if cervical artificial disc replacement is right for you.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sciatica.com\/blog\/5-key-points-to-understand-about-cervical-artificial-disc-replacement-adr\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Five Key Points About Cervical Artificial Disc Replacement\" \/>\n<meta property=\"og:description\" content=\"Were you told you need a cervical spine fusion? 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