Cervical Fusion versus Disc Replacement Treatment Options
Surgeons use two techniques to relieve symptoms of degenerative cervical disc — cervical fusion surgery (also known as anterior cervical disc fusion or ACDF) and cervical disc replacement surgery. Both can relieve pain, weakness, and numbness. The difference lies in the lasting effect on your range of motion.
Dr. Jack Zigler presents the considerations when choosing cervical fusion over cervical disc replacement. Dr. Zigler is with the Texas Back Institute in Plano, Texas.
With both techniques, the doctor will access the cervical spine through the front of the neck and remove the deteriorated disc. The next step depends on the technique:
The artificial cervical disc mimics the motion of a healthy disc.
See the charts below to compare the results of cervical fusion and cervical disc replacement, using Prestige LP, two years after the surgery.
The first chart shows results using Prestige LP at two adjacent levels. The trial was prospective (looking forward in time) and involved 397 patients (209 patients who received the Prestige LP cervical disc at two adjacent levels and 188 patients who underwent a fusion procedure, ACDF, at two adjacent levels).
The second chart shows results using Prestige LP at a single level. This prospective (looking forward in time), non-randomized study was conducted in the United States and involved 545 patients with 280 investigational patients receiving the Prestige LP cervical disc and 265 control patients who had received anterior cervical discectomy and fusion (ACDF) in a study that had been done earlier.
|Results at 2 Years||PRESTIGE LP 2-Level||ACDF|
|Results at 2 Years||PRESTIGE LP 1-Level||ACDF|
Decide the best surgical option for you by:
Once you have gathered information and discussed the options with your doctor, you will maximize your chances for a positive outcome and return to feeling better.
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100 out of 196 (51.0%) had more than four degrees of motion at both treated levels while bending the head forward to backward (flexion-extension).
Information on this site should not be used as a substitute for talking with your doctor. Always talk with your doctor about diagnosis and treatment information.