A member asked:

What is 3mm anterolisthesis of c4/c5 and which is better a acdf or a cervical total disc arthoplasty? i need to bend pretty far forward for work.

2 doctors weighed in across 2 answers

Neck Pain: To avoid surgery try Necercises and Aleve (naproxen). The conservative and surgical Rx is outlined in my book, "Stop Your Neck Pain and Headache Now." You have degenerative disc disease and the disc would best be replaced with a "new" one instead of bone. The learning curve for the surgeon is not steep and the published results are superior to a fusion.

Answered 9/7/2020

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Dr. Kevin Yoo answered

It depends.: 3 mm anterolisthesis of C4/5 means that the C4 vertebrae is 3 mm anteriorly positioned to C5 vertebrae which can be a normal variant or could mean instability. If you need to preserve motion in your neck, then the disc arthroplasty is the better surgery. However, you must be sure that the disc space is a good candidate for disc replacement. If there is anterolisthesis, I would recommend ACDF.

Answered 3/7/2016

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Degeneration of disc at cervical spine c3, c4, c5, what to do?

A doctor has provided 1 answer