Cervical disc arthroplasty: tips and tricks

  • Melvin C. MakhniEmail author
  • Joseph A. Osorio
  • Paul J. Park
  • Joseph M. Lombardi
  • Kiehyun Daniel Riew


Cervical disc arthroplasty (CDA) is a powerful, motion-sparing treatment option for managing cervical radiculopathy or myelopathy. While CDA can be an excellent surgery for properly indicated patients, it is also less forgiving than cervical fusion. Optimally resolving patient symptoms while maintaining range of motion relies on near perfection in the surgical technique. Different CDA options exist on the market, with some having long-term proven success and others in early stages of clinical trials. We discuss the different options available for use, as well as strategies of positioning, approach, disc space preparation, implantation, and fusion prevention that we believe can help improve performance and outcomes of CDA.


Cervical disc arthroplasty Cervical disc replacement Artificial disc replacement 


Compliance with ethical standards

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© SICOT aisbl 2018

Authors and Affiliations

  • Melvin C. Makhni
    • 1
    Email author
  • Joseph A. Osorio
    • 2
  • Paul J. Park
    • 2
  • Joseph M. Lombardi
    • 2
  • Kiehyun Daniel Riew
    • 2
  1. 1.Department of Orthopaedic Surgery, Brigham and Women’s HospitalHarvard Medical SchoolBostonUSA
  2. 2.Department of Orthopedic Surgery, Daniel and Jane Och Spine HospitalColumbia University Medical CenterNew YorkUSA

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