I have a herniated C 4-5 disc that is pressing on the nerve. I also have a fusion at C 5-6 but have healthy discs above and below those. If Osteoporosis runs in my family am I still a good candidate for disc replacement, or would you recommend a fusion instead?
If you have a herniated disc causing nerve root compression and the disc space height is relatively normal, you would most likely be a good candidate for an artificial disc replacement. However, if the nerve compression is from a bone spur off the uncovertebral joint and that spur is due to a collapse of the disc, then an artificial disc may be questionable. I do like artificial discs for the neck but we still don’t know the longevity of these implants, so keep that in mind. There is nothing wrong with another ACDF if that is what is indicated.