Cervical Disc Arthroplasty
As people age, the discs between the bones making up the backbone begin to wear down. This degeneration can affect the cervical spinal discs or the bones in the neck region. A symptom of cervical disc degeneration is neck pain, which worsens when you’re upright and disappears when you’re lying down. Seek medical treatment if your neck pain worsens or doesn’t go away despite rest or self-care.
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What Is Cervical Disc Degeneration?
The intervertebral discs are flat and round cushioning between vertebrae, which are stacks of bones that comprise the backbone. The discs act as shock absorbers, allowing you to rotate and flex your head during movement. While it’s natural for the discs to age or wears down as a person gets older, degeneration happens when this “aging” process happens prematurely or more rapidly.
Cervical degenerative disc disease is characterized by the drying out of the disc’s nucleus pulposus, the gel-like structure that helps absorb shock. This dehydration may reduce the height of the disc, resulting in pain and abnormal motion due to the compression between the vertebrae. Disc disease can further minimize movement in the cervical spine and pinch the nerves. A person with degenerating cervical disc may experience the following:
- Neck pain.
- Numbness or tingling that reaches the shoulders, arm, upper back or hand.
- Clumsiness, weakness or trouble walking.
- Coughing or laughing.
- Worsening neck pain.
What Is Cervical Disc Arthroplasty?
Cervical disc arthroplasty is a procedure to replace the diseased cervical disc with an artificial disc. This artificial disc replacement procedure aims to maintain motion in the affected area of the cervical spine. The artificial disc implant can be made of metal or metal and plastic. It can help restore the height between the cervical vertebrae and expand the passageway for the nerve roots to leave the spinal canal.
Before a cervical disc replacement, you will undergo several tests so doctors can evaluate your overall health. Tell your doctor your medical history and any medications you’re taking, as you may need to stop taking them before the procedure.
You will be placed under general anesthesia during the procedure, which means you will be asleep during the surgery. Your spinal surgeon will make an incision in front of the neck to access the damaged disc and the structures around it. The damaged disc will be removed, including bone spurs, displaced fragments or scar tissue that had developed before surgery. The replacement disc will be sized to fit your unique intervertebral disc space, guided into position and secured into place. The incision will be closed, and you’ll be taken to the recovery room. Your doctor may provide a neck collar to help keep your neck still.