Since the mid-2000’s numerous cervical artificial discs have been developed. All function well, although only two of these discs are FDA approved for up to two disc levels: The Prestige LP by Medtronic and the Mobi-C owned by Zimmer Biomet.
The ideal candidate for an artificial disc is younger, maintains good cervical curvature, and has only one or two levels of disc herniation. Most patients still try conservative options first, and only proceed with surgery as a last resort.
Overall, most artificial discs seem to show superior neck and arm pain improvement compared to anterior cervical discectomy and fusion (ACDF). The rate of adjacent level disease seems to be lower with ADR compared to ACDF, and the rate of repeat surgery seems lower. Artificial discs still can accidentally result in fusion.
At Rocky Mountain Brain & Spine institute, one or two level artificial disc replacement patients often go home the same day as surgery. Patients do not need to wear a cervical collar/ brace and return to work quickly. Our patients seem to maintain good range of motion following surgery and in some cases improve their range of motion.