Who is a Candidate for Cervical Disc Replacement?

Who is a Candidate for Cervical Disc Replacement?

Cervical Disc Replacement or Cervical Disc Arthroplasty (CDA) involves removing the disc for surgical decompression and replacing it with an arthroplasty device or replacement disc. The surgical procedure takes no longer than a traditional Anterior Cervical Diskectomy and Fusion. However, CDA allows mobility and proposes to reduce the risk of adjacent segment disease.

In general, patients who present with the majority of their symptoms, such as neck pain, should undergo cervical fusion. Otherwise, we use the criteria below:

  1. Age: 18 – 80 years old.
  2. Single or Two-Level Surgery between C3 and C7.
  3. Radiculopathy or myelopathy secondary to spondylosis, stenosis, disc herniation or foraminal stenosis.
  4. Loss of disc height.
  5. At least six – to eight weeks of conservative care.

Contraindications for the procedure include usually include previous surgery, trauma, poor bone quality, and severe spinal cord compression. Other specific criteria include:

  1. Axial neck pain only without disc herniation or stenosis.
  2. Severe myelopathy causing weakness.
  3. Mid-sagittal stenosis < 8 mm.
  4. Prior cervical spine surgery at the indexed level, unless there is a failed fusion.
  5. More than two levels need surgery.
  6. Segmental instability on flexion and extension views with > 3.5 mm subluxation.
  7. Disc height less than 3 mm.
  8. Severe facet joint degeneration.
  9. Significant kyphotic deformity.
  10. Osteoporosis.
  11. Osteopenia.
  12. History of spinal osteomyelitis.
  13. Morbid Obesity with BMI > 40.

The main reason to perform arthroplasty is not only to preserve motion, but to prevent adjacent segment disease after the surgical procedure.  Key considerations in those patients that have a poor outcome after CDA include those patients that have disc collapse greater than 50%; these patients are over distracted after CDA and have persistent neck pain. Another consideration is when axial neck pain is the only symptom with facet arthropathy, leading to continued neck pain after CDA.

If you feel you are a candidate for cervical disc arthroplasty, please call the office for a consultation visit.



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Angelo Troiano
Angelo Troiano
14/11/2022
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Very professional and thorough with my surgery.
Faith Schwenker
Faith Schwenker
22/03/2022
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Dr. Abraham’s did my surgery and it was a great success. After nearly 8 years of pain, I finally found a doctor who could help me. My sciatica nerve was compressing my L4 and L5 which was giving me pain and a very poor quality of life. Not only does Dr. Abraham’s have a great bedside manner, but also he certainly knows the complexities of the spine. Thank you so much for giving me my life back!! P.S. I have referred his name to several of my friends and they too have had a successful outcome!!
Kathleen Cully
Kathleen Cully
28/05/2021
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Dr. Abrahams is an extremely compassionate and highly skilled neurosurgeon who, along with Dr. C. Shannon, saved my husband's life by removing a complicated malignant metastatic brain tumor during a very long surgery. In addition, Dr. Abrahams has been my surgeon for several spinal procedures and I trust him with my life.
Kathleen Darcy
Kathleen Darcy
22/02/2021
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My experience was great 😊. Dr Abraham was fabulous.
Xavier Masi
Xavier Masi
15/02/2021
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Dr. Abrahams is the best, very caring and takes time out to listen instead of rushing!!! thanks Doc.. I might have to come see you again. Anthony
Dale
Dale
15/02/2021
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😷 Dr Abrahams is THE BEST! He is the absolute best brain & spine surgeon by far! His group is beyond excellent! My back & neck had been fractured in an accident, and I made the mistake of seeing a "spine doctor on Tarrytown Road," who did not want to see me again unless I needed more surgery! I was outright denied an appointment, even after this "doctor" performed a lumbar laminectomy on me!!!😡 I was miserable and in excruciating pain. Then everything changed.... 🙏THANK GOD I FOUND DR ABRAHAMS! He took all the time he needed with me to come up with a new plan and thoroughly explained the correct surgery I needed. I had a fractured sacrum, lower back S1, right up to L5, needing spinal fusion. I also had cervical herniations. My life changed after Dr Abrahams took care of my surgery, his office still checks up on me to make sure I'm doing well. The office and entire staff is so helpful, friendly and caring. I recommend Dr Abrahams on a regular basis to people I meet that have brain or spine problems. Dr Abrahams is also BRILLIANT. He is the creator of many medical devices that he received patents for. When you go in his office your eyes won't know what to look at first he has so many awards & patents. He's a MUST GO TO doctor! He changed my life, and I am forever grateful to him, Lisa (his personal coordinator), and his entire staff, fellow doctors that are also in group with Dr Abrahams. I HIGHLY RECOMMEND HIM as well as the doctors in practice within his group. You will get the best care by far.😊
Helena Mattis
Helena Mattis
12/01/2021
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Dr. Abrahams literally saved my life. I went to him back in 2004 in horrible shape after being misdiagnosed by my Primary Care Physician. He went above and beyond in saving my life. I highly recommend him for his skills, ability, his humanity and love he demonstrates for both his patients and his work. Helena Edwards
Farah Rubeo
Farah Rubeo
13/09/2020
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Dr. Abrahams performed back surgery on me 6 years ago . I was 38 yrs old and in excruciating pain, not able to walk for longer longer than 5 minutes, sleeplessness nights and constantly being put on pain medication , including countless rounds of PT. Surgery was my only option to return to the quality of life I had before my injury and I am beyond grateful for Dr. Abrahams and his team. I have been playing softball, exercising , walking my dog and enjoying everything that I have missed for years! Dr. Abrahams to me Is a lifesaver! The best of the best !