Table 1

Cervical disc replacement-specific score (CDRSS).

CategoryVariablePoints
Causes and presentationDisc diseaseCervical myelopathyCervical radiculopathy3
IndicationsUnresponsive to conservative treatmentSingle-level or 2-level diseaseAge >18 y3
ContraindicationsAxial neck pain as only ailmentSpondylosisDisc height <3 mmKyphotic deformity >15°Active infectionKnown malignancyInflammatory spondyloarthropathyAllergy to implant materialMetabolic bone disease9
BenefitsMaintenance of spinal motionRapid recoveryShorter hospital stayDecreased risk of ASD4
ComplicationsInfectionBleeding/hematomaDysphagiaDysphoniaEsophageal/tracheal injuryDural tearRecurrent laryngeal nerve injurySpinal nerve injurySpinal cord injuryASDImplant-related failuresHeterotopic ossification12
Treatment optionsConservative managementAnterior cervical discectomy and fusionPosterior laminoforaminotomyLaminoplastyLaminectomy with fusion5
Surgical techniqueApproachDiscectomyDecompressionInsertion of cervical disc replacement4
40 points total
  • ASD, adjacent segmental disease.