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Cervical Arthroplasty

Cervical arthroplasty is a neck surgery that replaces a damaged cervical disc with an artificial disc to help relieve pain, numbness, or weakness caused by nerve compression.

  • Spine Surgery

    We have decades of experience caring for patients with back and spine conditions, pioneering minimally invasive treatments and leading research for new treatments to improve patient outcomes.

What Is Cervical Arthroplasty?

Cervical arthroplasty, also called cervical disc replacement, is a procedure that removes a damaged disc in the neck and replaces it with an artificial disc. A disc is the cushion between the bones of the spine. This treatment is used to relieve pressure on nearby nerves or the spinal cord while helping preserve motion in the neck.

It may be considered for some people with a herniated disc, nerve compression, neck pain that travels into the arm, or weakness, numbness, or tingling that has not improved enough with nonsurgical treatment. A physician will determine whether this treatment is appropriate based on symptoms, imaging, overall spine health and treatment goals.

Why Choose Baptist Health?

At Baptist Health Brain & Spine Care, care begins with a careful evaluation of your symptoms, imaging and daily function. Your physician will explain your diagnosis in plain language and review both nonsurgical and surgical treatment options.

When cervical arthroplasty is being considered, the goal is to match the right treatment to the right patient. Baptist Health Brain & Spine Care brings together physicians focused on conditions affecting the brain, spine and nervous system, with treatment planning centered on safety, mobility, pain relief and long-term function.

Why Choose Baptist Health?

How It Works

During cervical arthroplasty, the surgeon removes the damaged cervical disc that is pressing on a nerve or the spinal cord. The disc is then replaced with an artificial disc designed to maintain space between the vertebrae and support continued motion in the neck.

Because the goal is both decompression and motion preservation, cervical arthroplasty is different from spinal fusion, which joins two bones together. Not every patient is a candidate for disc replacement, and the right approach depends on the condition being treated and the overall stability of the spine.

Who May Benefit

Cervical arthroplasty may help some patients who have:

  • Neck pain linked to a damaged cervical disc
  • Arm pain, numbness, tingling or weakness caused by nerve compression
  • Symptoms from a cervical disc problem that have not improved enough with medications, physical therapy or other conservative treatment
  • Imaging findings that match their symptoms
  • A spine condition that may be suitable for motion-preserving treatment rather than fusion

A full evaluation is needed to decide whether cervical arthroplasty is the right option.

Benefits and Risks

Potential benefits may include:

  • Relief of nerve-related symptoms
  • Less pressure on the spinal cord or nearby nerves
  • Preserved motion at the treated level of the neck
  • Improved daily movement and function for some patients after recovery

Risks vary from person to person and should be reviewed with your physician. They may include:

  • Bleeding
  • Infection
  • Nerve injury
  • Swallowing discomfort
  • Hoarseness
  • Pain that does not fully improve
  • Implant-related problems
  • The need for additional treatment in the future
  • Anesthesia risks, when applicable

What to Expect

  • Before cervical arthroplasty, you will usually have a physical exam, imaging studies such as MRI or CT, and a review of your medical history, medications and prior treatments. Your care team will explain how to prepare for surgery, when to stop eating or drinking and whether any medicines need to be adjusted.

  • Cervical arthroplasty is performed in an operating room under anesthesia. The surgeon reaches the affected disc through the front of the neck, removes the damaged disc, relieves pressure on the nerves or spinal cord and places the artificial disc. The exact steps can vary based on your anatomy and the level being treated.

  • After surgery, your team will monitor your pain, movement and swallowing. Some patients go home the same day, while others may stay in the hospital longer depending on the procedure and overall health. You will receive instructions about activity, incision care, follow-up visits and when to call your physician.

Recovery

Recovery after cervical arthroplasty varies based on your health, the number of levels treated and the type of work or activity you do. Many patients are encouraged to walk early, but lifting, driving and return to exercise should follow the guidance of the care team.

Your physician may recommend follow-up imaging and a gradual return to normal activity. Physical therapy may be part of recovery for some patients.

Frequently Asked Questions

  • Cervical arthroplasty is used to treat certain neck disc problems that cause nerve compression or spinal cord pressure. It may help with neck pain, arm pain, numbness, tingling or weakness when symptoms are tied to a damaged cervical disc.

  • Yes. Cervical arthroplasty and cervical disc replacement are two names for the same procedure. Both refer to removing a damaged disc in the neck and replacing it with an artificial disc.

  • Some patients may be candidates if they have symptoms caused by a damaged cervical disc and have not improved enough with conservative treatment. Candidacy depends on imaging, spine stability, overall health and whether motion-preserving surgery is appropriate.

  • Cervical arthroplasty replaces the disc and is designed to preserve motion at the treated level. Spinal fusion removes the disc and joins the surrounding bones together. The best option depends on your diagnosis, anatomy and physician evaluation.

  • Possible risks include infection, bleeding, nerve injury, swallowing discomfort, hoarseness, ongoing symptoms, implant-related issues and the need for future treatment. Your physician will review the risks that matter most in your case before surgery.

  • Recovery is different for every patient. Some people return to light activities sooner than others, but full recovery depends on healing, activity level, work demands and physician guidance. Your care team will explain what to expect for your situation.

  • Some patients do. Physical therapy may be recommended to support strength, posture, and safe return to activity. Whether you need therapy depends on your symptoms before surgery, your recovery and your physician’s plan.

  • Call your physician if you have worsening pain, fever, drainage from the incision, trouble swallowing that gets worse, new weakness or other symptoms that concern you. Your discharge instructions will explain what needs urgent attention.

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