Artificial Disc Replacement
Cervical Disc Replacement
What Is Cervical Disc Replacement?
Cervical disc replacement is a motion-preserving spine procedure used to treat neck, shoulder, arm, and upper back symptoms caused by a damaged disc in the cervical spine. During the procedure, the unhealthy disc is carefully removed and replaced with an artificial disc designed to support stability while maintaining natural movement.
Modern cervical disc implants are made from strong, biocompatible materials, including titanium, cobalt-chrome, and advanced medical-grade polymers. These devices are engineered to function much like a healthy spinal disc, helping the neck move with greater comfort and control.
For many patients, relief begins when pressure is taken off irritated nerves or the spinal cord. Symptoms such as radiating pain, tingling, weakness, or numbness may improve as the nerve compression is addressed. Unlike spinal fusion, which limits motion at the treated level, cervical disc replacement is designed to preserve the neck’s ability to bend, rotate, and extend more naturally after healing.
Why Patients Choose Palm Beach Spine & Disc Replacement Center for Cervical Disc Replacement
Palm Beach Spine & Disc Replacement Center is designed for patients seeking advanced spine care in a refined, highly specialized setting. The center focuses on modern, motion-preserving procedures, including cervical artificial disc replacement, with an emphasis on precision, safety, and long-term function.
Led by Dr. Jason Cuéllar, a board-certified, fellowship-trained orthopedic spine surgeon, the practice brings together sophisticated surgical planning, advanced disc replacement technology, and a patient experience built around individual attention. Dr. Cuéllar has extensive experience with cervical disc replacement and has performed hundreds of successful artificial disc replacement procedures in South Florida.
Patients choose Palm Beach Spine & Disc Replacement Center for its focused expertise, thoughtful approach, and commitment to helping people move beyond pain while preserving natural motion whenever appropriate.
Types of Cervical Discs
There have been a number of discs released, each with varying degrees of success rates when stress-tested in clinical trials. Current FDA-approved discs include the Prestige-LP, Prestige-ST, prodisc® C, SECURE®-C and PCM artificial discs for the cervical spine. Below is a topline overview of the FDA-approved alternatives currently available.
CERVICAL DISCS
FDA-Approved Cervical Disc Options
Today, several FDA-approved cervical disc implants are available for patients who may benefit from motion-preserving spine surgery. Each device is designed to replace a damaged disc while helping the neck maintain more natural movement and reduce added stress on the nearby spinal levels.
At Palm Beach Spine & Disc Replacement Center, disc selection is highly individualized. Dr. Cuéllar and the surgical team evaluate each patient’s anatomy, condition, activity level, and long-term goals before recommending an implant. This personalized approach helps ensure that the chosen artificial disc is well matched to the patient, not simply the procedure.
Synergy® Cervical Disc
The Synergy® Cervical Disc is an artificial cervical disc designed to preserve motion at the treated level while helping restore and maintain the natural alignment of the neck. Its lordotic core and semi-constrained design are intended to support physiologic movement while adding stability after a damaged cervical disc is removed.
Made with titanium alloy endplates and a polyethylene core, the Synergy® Cervical Disc may be used for single-level cervical disc replacement in patients with symptomatic degenerative disc disease. The goal is to relieve nerve compression while helping preserve spinal balance and motion.
prodisc® C Cervical Disc
The prodisc® C Cervical Disc received premarket approval in 2007 and has long been considered one of the primary artificial disc options for cervical disc replacement. It is designed to maintain physiologic range of motion at one spinal level from C3 to C7.
The implant is made of three components: two cobalt chrome alloy endplates and an ultra-high molecular weight polyethylene inlay. As one of the most widely used cervical artificial discs, prodisc® C is available in multiple sizes and can be selected based on the patient’s anatomy.
prodisc® C Vivo
The prodisc® C Vivo is designed to replace a diseased or degenerated cervical disc in patients with symptomatic cervical disc disease. Using a ball-and-socket design, it supports flexion, extension, rotation, and lateral bending while helping resist shear forces.
The implant is composed of four components and includes secure teeth fixation to help provide stability at the treated level. Its design is intended to restore motion while maintaining controlled movement through the cervical spine.
prodisc® C SK
The prodisc® C SK is similar to the prodisc® C Vivo in that it is designed to preserve motion while replacing a damaged cervical disc. Its low-profile design may allow for multilevel application when more than one cervical disc requires replacement.
Instead of teeth fixation, the prodisc® C SK uses low-profile keels to help secure the implant in place. This design supports stability while allowing the treated segment to maintain motion.
prodisc® C Nova
The prodisc® C Nova is designed to maintain physiologic range of motion in the cervical spine. It uses the clinically proven ball-and-socket concept commonly used in joint replacement technology.
The implant includes four components: two titanium alloy endplates, a cobalt chrome alloy calotte insert, and an ultra-high molecular weight polyethylene inlay. It is inserted into the vertebral bodies en bloc and is designed to support motion after disc replacement.
Discontinued & Next-Generation Options
Some earlier-generation cervical disc implants, including PCM®, Prestige-ST, and BRYAN®, have been discontinued or are no longer commonly used in the same way as newer options. Other devices have helped shape the next generation of artificial disc replacement, including M6-C™ and international options such as CP-ESP® and Baguera®C.
At Palm Beach Spine & Disc Replacement Center, implant selection is based on the patient’s anatomy, diagnosis, activity level, and long-term goals. The focus is not on using one disc for every patient, but on choosing the device that best fits the individual case.
PCM® Cervical Disc
The PCM® Artificial Disc is generally advised for skeletally mature patients for a reconstruction of a degenerative cervical disc at one level from C3-C4 and C6-C7. It’s a two-piece articulating device composed of two alloy metal end plates, with an ultra-high molecular weight polyethylene spacer fixed to the caudal end plate. A very mobile disc, while it was FDA-approved next to a fusion, it is now discontinued.
Prestige-ST Cervical Disc
The Prestige-ST was the first Medtronic disc, secured with screws to allow full combat within 14 days. The surface of the disc is grainy, allowing existing bone to regenerate and integrate into it. It’s held in place by four bone screws and two lock screws, utilizing a patented ball-and-trough design which allows for motion to be preserved. Made from cobalt chrome and nickel, the Prestige-ST was unsuitable for patients with allergies to metal, and has since been replaced with the Prestige®-LP Cervical Disc.
BRYAN® Cervical Disc
First reported to be used in 2002, the now obsolete BRYAN® consisted of two titanium alloy “shells” surrounding a saline-filled (prior to implantation) polycarbonate urethane nucleus that added compression to the disc. The bone-contacting edges of each shell were coated with sintered titanium to provide for bony ingrowth. Originally considered the best device to preserve motion, achieving similar results to that of a spinal fusion. While placement did prove to yield favorable clinical outcomes, the BRYAN® cervical disc also reported various issues related to the operative approach, decompression process, loosening of the device and subsidence of the implant, as well as postoperative kyphosis.
M6-C
The M6-C is an artificial disc replacement device that mimics the natural movement of an anatomical disc, while also allowing for compressibility via a unique viscoelastic core. Since FDA-approval in February 2019, the M6-C has established a market-leading position outside the United States, with over 54,000 devices implanted globally.
FDA Trials - Under Investigation
The following discs are currently under investigation. Patients can review eligibility criteria to see if they may be possible candidates for clinical trials. If you are interested in signing up for a trial please contact our office.
Synergy Disc™
The Synergy Disc™ is considered revolutionary in its design and functionality to treat cervical degenerative disc disease in patients who are unresponsive to conservative management. Available in three footprint sizes, two heights and two corrective lordotic angles, it’s the first disc that addresses patients with normal cervical lordosis and preoperative deformity. It offers a semi-constrained design with controlled motion stops, optimized for multi-level stability, to restore balance and mimic natural kinesthetic movement for enhanced motion preservation.
M6-C™
The Level 2 M6-C™ disc is considered ‘next generation’ in its ability to mimic the natural structure and movement of the spine, including forward, backwards, up, down, side to side and left to right rotations. Its innovative design composes two titanium endplates that anchor the disc to neighboring bone, as well as a shock-absorbing nucleus and fiber annulus that combine to replicate the cushioning effect and controlled range of movement of the natural disc, potentially minimizing stress to adjacent discs.
Off-Market European Devices
CP-ESP®
The CP-ESP® was developed for the cervical spine after a decade of success with its lumbar spine counterpart, the LP-ESP® lumbar disc. It employs innovative technology to mimic the natural movement of the cervical spine to six degrees, ensuring enhanced mobility and shock absorption to take pressure off the adjacent discs. It’s composed of two hydroxyapatite-coated titanium endplates with elastic nucleus (inner core) and elastic annulus (outer core).
Baguera®C
With an anatomical design composed of Diamond-Like-Carbon (DLC) coated titanium end plates and a guided mobile PE nucleus, the Baguera®C delivers reduced MRI artifact and better postoperative control. It allows six degrees of freedom and improved stress distribution, due to significantly lower contact pressure distribution on polyethylene central core.
The Palm Beach Spine Approach
At Palm Beach Spine & Disc Replacement Center, the goal is to preserve healthy spinal motion whenever it is safe and appropriate to do so. Rather than relying on spinal fusion as the default solution, Dr. Cuéllar and the team carefully evaluate whether a motion-preserving procedure, such as cervical disc replacement, may offer a better fit for the patient’s condition and long-term goals.
This approach is built around a clear principle: when the spine can keep more of its natural movement, it may help reduce added stress on nearby discs and support a more comfortable return to daily life.
Each procedure is planned with advanced imaging, careful surgical strategy, and precise technique. For patients, that means personalized care from diagnosis through recovery, with a focus on lasting relief, restored function, and the highest level of surgical detail.
Why Cervical Disc Replacement?
For certain patients with cervical degenerative disc disease, artificial disc replacement may offer an advanced alternative to spinal fusion. Instead of permanently stopping motion at the treated level, cervical disc replacement is designed to preserve movement in the neck.
By allowing the spine to bend, rotate, and extend more naturally, the implant may help reduce added stress on the discs above and below the treated area. This motion-preserving approach can be especially valuable for patients who want relief from nerve compression while maintaining as much normal neck function as possible.
FROM OUR PATIENTS
Real Stories. Real Results.
“When you live with pain for so long, you forget what it’s like to feel great. Three months after my two discs were replaced, I’m feeling wonderful.”
ANGELA D. — LUMBAR ADR PATIENT, L4 & L5
“Sometimes life takes us down a path we never expected, only to lead us exactly where we need to be. I believe that is what happened when my journey led me to Dr. Cuellar.
I share my story in the hope that it may help others facing the anxiety and uncertainty that come with a difficult medical diagnosis.
My journey began with a misdiagnosis and...” Read More
EDWARD N.
“Dr.Cuellar and his team has relieved me from 2+ years of back pain and spasms. I'm 43 and had 2 degenerative disks. After years of Physical Therapy and Chiropractic care, I decided to have surgery. It was the best decision in my case. I am 12 weeks post surgery and pain free. Thank you Dr. Cuellar for your amazing care and walking me through every step of the process!”
JASON S.
“My husband and I are incredibly grateful for the care he received from Dr Cuellar and their entire team. From our first consultation through surgery and follow-up, we felt heard, respected, and confident in the treatment plan. Dr. Cuellar and his team took the time to explain everything clearly and answered all of our questions with patience and compassion.”
JENNY S.
“I felt so safe and cared for through the whole process before and after surgery. Dr. Cuellar and his entire team showed such compassion, knowledge, and skill that I sailed through surgery without any worry.”
KIM S.
“I have had chronic pain since a car wreck over 4 years ago. Now I’m pain free and couldn’t be happier! Dr Cuellar is the BEST at disc replacement surgery. I was blessed to have found him! Thank you again, Dr Cuellar!”
NOLA K.
“The process of rebuilding my life after I was hit in my truck while stopped was a long and confusing one. The least confusing part of the entire experience was when I made the decision to take the next step with Dr. Cuéllar and his team...” Read More
JOSEPH T.
“After dealing with lumbar and cervical pain for nearly 15 years I finally was helped by Dr Cuellar and his office.
Ashley and Tiffany went above and beyond. They handled all communications with my insurance provider to get me covered, an amazing feat in today’s landscape...” Read More
ANDREW D.
“Sometimes life takes us down a path we never expected, only to lead us exactly where we need to be. I believe that is what happened when my journey led me to Dr. Cuellar.
I share my story in the hope that it may help others facing the anxiety and uncertainty that come with a difficult medical diagnosis.
My journey began with a misdiagnosis and an inability to get the answers I needed. During my research, I discovered cervical disc replacement—something I didn't even know existed. In Cincinnati, where I live, cervical fusion is much more commonly recommended. At 76 and still very active, I knew I needed to explore every option.
My father-in-law, a beloved orthopedic surgeon, always told me, “Get a second opinion. Surgery is the last resort, not the first. Keep asking questions.” So I did. My search eventually led me to Dr. Cuellar in Palm Beach, Florida, just 45 minutes from my Florida home. He had been part of one of the first teams in California to perform cervical disc replacement, and his experience immediately impressed me. But his résumé—about as thick as a King James Bible—only tells part of the story. Within the first five minutes of meeting him, I knew I was in the hands of an exceptionally gifted surgeon.
More importantly, I knew I was in the hands of a man who genuinely cared. Dr. Cuellar has an extraordinary intellect, remarkable surgical skill, and superb hands. But what truly sets him apart is his heart. He listens. He explains. He answers your questions. He takes the time to understand not just your condition, but you.
And then there is his incredible team.
Rachael was my first point of contact, and from that very first interaction, I knew I was in good hands. Ashley and Tiffany, the surgical coordinators, were exceptional throughout the entire process. They were kind, patient, compassionate, organized, incredibly responsive and always available. They were always on point, always willing to answer a question, and somehow seemed to stay one step ahead of what
I needed. In a situation that can feel overwhelming, they made me feel cared for, informed, and never alone.
That level of personal attention is rare, and it made an enormous difference in my experience.
At 76, I didn't want someone simply to treat my spine. I wanted someone who understood that I still have a very active life and wanted to preserve it. Dr. Cuellar understood that immediately.
I believe the Lord blessed Dr. Cuellar with the intellect and surgical ability to do extraordinary things, but He also gave him a heart and soul that make him an exceptional human being.
I went looking for a surgeon. I found a surgeon I trust, a doctor I respect, an extraordinary team, and a man for whom I will always be grateful.
If you are facing a cervical spine diagnosis and wondering where to turn, my advice is simple: do your research, ask questions, seek a second opinion, and meet Dr. Cuellar.”
EDWARD N.
“The process of rebuilding my life after I was hit in my truck while stopped was a long and confusing one. The least confusing part of the entire experience was when I made the decision to take the next step with Dr. Cuéllar and his team. The early (and continued) communications with Tiffany, Ashley and Rachel ensured that I was very comfortable with the steps that would need to be observed in order to complete the surgery. At no point in this process was I ever left wondering what the next step was going to be. Dr. Cuéllar is a phenomenal surgeon with a terrific bedside manner. He is providing a service that is rare in the United States and he very much excels at that craft. I had two discs replaced at L4-L5, L5-S1 at JFK in West Palm Beach. I am on my recovery path and am already in significantly less pain than I was in before the surgery. Thank you very much to everyone at Cuéllar Spine that was able to work together and bring back the life that I’d previously known.”
JOSEPH T.
“The process of rebuilding my life after I was hit in my truck while stopped was a long and confusing one. The least confusing part of the entire experience was when I made the decision to take the next step with Dr. Cuéllar and his team. The early (and continued) communications with Tiffany, Ashley and Rachel ensured that I was very comfortable with the steps that would need to be observed in order to complete the surgery. At no point in this process was I ever left wondering what the next step was going to be. Dr. Cuéllar is a phenomenal surgeon with a terrific bedside manner. He is providing a service that is rare in the United States and he very much excels at that craft. I had two discs replaced at L4-L5, L5-S1 at JFK in West Palm Beach. I am on my recovery path and am already in significantly less pain than I was in before the surgery. Thank you very much to everyone at Cuéllar Spine that was able to work together and bring back the life that I’d previously known.”
ANDREW D.
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P (305) 459-3175 · F (855) 265-7167
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Palm Beach Gardens, FL 33410
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Jupiter, FL 33458
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Aventura, FL 33180
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