Cervical Disc Replacement Surgery: Frequently Asked Questions

What is cervical disc replacement surgery?

Cervical disc replacement surgery is a procedure where a damaged disc in the neck (cervical spine) is removed and replaced with an artificial disc. This surgery is designed to preserve motion in the neck, unlike traditional cervical fusion surgery.

Who needs cervical disc replacement surgery?

This surgery may be recommended for patients who:

• Have arm pain, numbness, or weakness caused by a herniated disc in the neck
• Have not found sufficient relief from non-surgical treatments
• Have only one or two discs in the neck that need treatment
• Do not have significant facet joint disease or cervical spine instability

How does cervical disc replacement differ from cervical fusion?

The main difference is that disc replacement aims to maintain motion in the neck, while fusion eliminates motion at the treated level. This may help reduce the risk of adjacent segment disease, where levels above or below the treated area degenerate more quickly.

What are the benefits of cervical disc replacement?

Potential benefits include:

• Maintained neck mobility
• Reduced risk of adjacent segment disease
• Faster recovery compared to fusion surgery
• Reduced neck and arm pain
• Improved function and quality of life

What does the surgery involve?

The procedure typically involves:

1. Making a small incision in the front of the neck
2. Removing the damaged disc
3. Inserting the artificial disc into the space
4. Closing the incision

How long does the surgery take?

The surgery usually takes about 2-3 hours to complete.

What type of anaesthesia is used?

General anaesthesia is typically used for cervical disc replacement surgery.

How long is the hospital stay?

Most patients can go home after 1-3 days in the hospital, depending on their recovery progress.

What is the recovery process like?

Recovery varies for each individual but generally involves:

1. Starting gentle neck exercises soon after surgery
2. Gradually increasing activity levels
3. Returning to normal activities within 4-6 weeks

When can I return to work?

This depends on your job and recovery progress. Many people can return to desk jobs within 1-2 weeks. More physically demanding jobs may require 8-12 weeks or more.

What are the risks of cervical disc replacement surgery?

While generally safe, potential risks include:

• Infection
• Bleeding
• Nerve or cervical cord injury
• Device failure or displacement
• Heterotopic ossification (unwanted bone formation)
• Persistent pain or new pain

How long does a cervical disc replacement last?

Modern artificial discs are designed to last for many years. However, long-term data is still being collected. Some studies show good results at 10+ years post-surgery.

Are there activities I should avoid after recovery?

Your surgeon will provide specific guidelines, but generally:

• Avoid high-impact activities or contact sports
• Maintain good posture and ergonomics
• Follow a regular exercise program to keep neck muscles strong

How can I prepare for the surgery?

Consider these preparations:

• Arrange for someone to drive you home after surgery
• Prepare your home for a comfortable recovery (e.g., extra pillows for support)
• Stop smoking, as it can interfere with healing
• Follow your doctor’s instructions about medications before surgery

Will I need physical therapy after surgery?

Most patients benefit from a structured physical therapy program to help regain strength and mobility in the neck.

Remember, always consult with your healthcare provider for personalized advice and information regarding your specific situation and needs.