Question 1

What is the main difference between cervical disc replacement and ACDF?

Accepted Answer

The main difference is motion preservation. Cervical disc replacement maintains natural neck movement with an artificial disc, while ACDF fuses vertebrae together, eliminating motion at that level but providing excellent stability.

Question 2

Who is a good candidate for cervical disc replacement?

Accepted Answer

Good candidates are typically under 60, have single-level disease, good bone quality, no significant arthritis, and want to maintain neck motion. ACDF may be better for older patients or those with multi-level disease.

Question 3

Which procedure has better long-term outcomes?

Accepted Answer

Both procedures have excellent long-term outcomes with over 90% success rates. CDR may reduce adjacent segment disease risk, while ACDF has longer track record and works well for complex cases.

Cervical Disc Replacement vs ACDF: A Surgeon's Comprehensive Guide

Related Topics

ACDF Procedure

Cervical Disc Replacement

Cervical Radiculopathy

Cervical Myelopathy

CDR vs ACDF: Decision Framework

Contact Us

Have questions about your spine?