Purpose of Review Anterior cervical fusion, the gold standard for reconstruction following anterior cervical decompression, is both safe and effective but potentially accelerates degeneration of adjacent segments. Artificial disk replacement is an emerging technology with the potential to maintain motion and decrease adjacent segment degeneration. Several devices are currently in pilot studies ...

STUDY DESIGN  Randomized controlled trial. OBJECTIVE  To compare fusion rates, time to fusion, complication rates and subsidence between 1) a static, 2) a dynamic angulation, and 3) a dynamic translation plate in anterior cervical discectomy and fusion for symptomatic degenerative cervical disease. METHODS  Thirty-six patients with two level, symptomatic cervical degenerative changes requir...

A cervical discectomy and fusion (ACDF) has been a surgical option for the management of cervical disc disorders since 1958 (16). Over time, longterm outcome studies increasingly focused on adverse effects, specifically on the vertebrae and the intervertebral discs adjacent to the level fused (2,8,10). The concern that spinal fusion may potentially contribute to the acceleration of adjacent seg...