When a damaged or degenerated disc starts limiting how you move, sleep, and live, even simple moments — turning your head, bending to tie a shoe, picking up a child — can become painful reminders of what your spine used to do effortlessly. Artificial disc replacement, also known as disc arthroplasty, is an innovative surgical procedure designed to restore stability and motion in the spinal column when the cushioning discs between your vertebrae have worn down or become damaged. For many patients, it offers a modern alternative to spinal fusion — one that helps preserve natural movement and quality of life.
At Princeton Brain, Spine & Orthopedics, our fellowship-trained neurosurgeons have spent nearly two decades advancing spine care for patients across New Jersey and Eastern Pennsylvania. Our team is recognized for its expertise in FDA-approved disc replacement systems and minimally invasive spine techniques, performing this state-of-the-art procedure at leading affiliated hospitals throughout PA and NJ. Every recommendation we make is rooted in a careful, evidence-based evaluation of your imaging, symptoms, and goals — so you can feel confident that the path forward is the right one for your spine and your life.
What Is Artificial Disc Replacement?
For years, the traditional treatment for herniated, damaged, or degenerated spinal discs has been a procedure called spinal fusion, in which two or more vertebrae are joined together to stabilize the spine and alleviate pain in the neck and back. While effective, this fusion of vertebrae results in a loss of spinal flexibility. With artificial disc replacement, the damaged disc is replaced with an FDA-approved implant consisting of two metal plates, or two metal plates separated by plastic padding. The metal plates glide over one another and the plastic disc, restoring the natural function of the spine and preserving the patient’s ability to bend forward, backward, and side to side.
Who Is a Candidate for Artificial Disc Replacement?

This procedure is a relatively new option for patients with disc damage who have not responded well to standard non-operative treatments like rest, injections, physical therapy, and bracing.
Physicians report excellent pain relief and stabilization results for younger adult patients who meet these guidelines, including:
- Damage in a single cervical disc with no adjacent disc involvement
- No evidence of osteoporosis, bone spurs, infection, or significant arthritis
- Normal spinal flexibility at the affected level
With the patient under general anesthesia and lying face-up, the surgeon makes a small incision to expose the spinal column. X-ray imaging and an operating microscope aid the surgeon in confirming the location of the affected vertebrae, removing the damaged disc, and inserting the artificial replacement. A final X-ray image confirms correct placement of the artificial disc before the incision is sutured closed. This minimally invasive surgery usually takes one to two hours to complete.
After the procedure, the patient may be discharged the same day or the following day. In most cases, pain abates within days and other nerve symptoms improve rapidly.
Additional benefits patients often experience include:
- Maintains full range of motion in the spine
- Preserves more normal neck & spine physiology
- Requires less downtime for recovery
- Helps protect adjacent vertebrae from accelerated degeneration
- Eliminates many of the potential complications associated with spinal fusion surgery
Why Choose Princeton Brain, Spine & Orthopedics for Artificial Disc Replacement?
Patients across New Jersey and Eastern Pennsylvania choose Princeton Brain, Spine & Orthopedics because our care combines world-class specialty expertise with a personal, relationship-driven approach. Our fellowship-trained neurosurgeons are leaders in advanced spine procedures, including artificial disc replacement, and have performed thousands of complex spine surgeries at top affiliated hospitals throughout the region. We are committed to clear communication, precise diagnosis, and the most advanced, evidence-based treatment options available — delivered with the compassion, integrity, and respect that have defined our practice for nearly two decades.
Ready to learn whether artificial disc replacement is right for you? Call Princeton Brain, Spine & Orthopedics today at (888) 741-7272 to verify your insurance coverage or schedule a consultation with one of our spine specialists. You can also request more information online — our team is here to guide you toward lasting relief and a confident next step.