Does cervical spine or lumbar spine surgery have the best prognosis and ease of surgery? is artificial disc replacement or fusion surgery best for treating cervical spondylosis?

The surgery with the: Best prognosis & the best outcomes is the one that is truly indicated after failing nonoperative care done by a surgeon who is well qualified who will note ease of surgery for the surgeon and the appropriately selected patient. This would be an orthopedic spine surgeon or neurosurgeon . The ideal patient is a non obese nonsmoker in otherwise good shape.

Cervical spondylosis: Cervical disc surgery includes posterior non fusion approaches versus anterior fusion or disc replacements. Disc replacement in the cervical spine may be an option for single level treatments for patients with radiculopathy (arm pain). By preserving motion there may be a reduction in adjacent level problems although this has not been proven. Talk to a spine specialist concerning options.

Many variations: Anterior or posterior, discectomy, decompression, or fusion. All affect recovery rates. For fusions, anterior cervical tends to be an easier recovery than lumbar. Cervical adr is quite comparable to fusion for short and mid-term outcomes. Longer term studies may show better long-term results than fusion, but we currently don't have enough data.