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Cervical Artificial Disc Replacement

Cervical Disc Replacement clinical trials available at the Spine Institute.

The Spine Institute of New York is one of the select centers participating in a national clinical investigation of cervical artificial disc replacement surgery. The procedure is targeted for the treatment of cervical disc disease, resulting from disc degeneration or injury to the cervical vertebrae – or bones of the neck.

Cervical disc disease occurs when the gel-like discs between the vertebrae of the neck become dislodged due to accidents, muscle strain, arthritis or aging. The condition may impinge on the spinal cord or nerves, often resulting in neck pain, radiating arm pain and temporary changes in nerve function that may cause tingling, lack of coordination, numbness or weakness in an arm or hand.

Cervical disc replacement surgery would most typically be done for patients with cervical disc herniations that have not responded to non-surgical treatment options and are significantly affecting the individuals’ quality of life and ability to function.

Cervical Artificial Disc Replacement is a new surgical technique that may be done instead of an anterior cervical discectomy and fusion. In cervical artificial disc replacement surgery, a small prosthetic device is inserted into the vertebrae to replace the removed disc. This investigational device is designed to provide the motion and elastic characteristics of the natural cervical disc.

Please contact our study coordinator to find out if you are a good candidate for the cervical disc replacement.

Study Coordinator: Dr. Ketevan K. Berekashvili
Phone: (212) 844-6900

Thank You for Submitting a Question


Thank you for submitting a question to the Spine Institute.


The Spine Institute of New York physicians and nurse practitioners will answer questions submitted online for existing patients regarding their medical condition and ongoing treatment. Patients who have not been seen at the Spine Institute should NOT submit questions online. New Patients are advised to Request an Appointment.


This Online Clinical Question Form is not for emergencies or a substitute for direct contact.


If your problem is urgent, please call the office.


Please allow 24 hours for a response to your question, excluding weekends and holidays.

Thank You for Requesting a Refill


Thank you for requesting a refill on your prescription using our online form.


The Spine Institute of New York physicians and nurse practitioners will prescribe pain medication for a limited time as part of patient’s care. If ongoing pain management is necessary, patients will be referred to their primary physician or a pain management specialist.


Medications are refilled Monday through Friday during business hours (8:00am – 3:00pm) excluding holidays. Please allow 48 hours for refill requests to be processed. Medications are not refilled on evenings or weekends

Appointment Request

To request an appointment at The Spine Institute of New York, please fill out the form below or call 212-844-8680.  Our staff will contact you within 48 hours to schedule your appointment, excluding weekends and holidays.

* Required fields

General Information


Spine Health Tips

Many cases of back pain are preventable. Unfortunately, most people don’t worry about their back until it’s already hurting them. That’s why it’s important to start treating your back properly right away. The following are some steps you can take to protect your back.


Having the correct posture while sitting, standing and sleeping is an important part of keeping your back pain free. Many people spend their entire workdays sitting or standing, and too much of either can lead to back pain. However, there are several ways you can guard against this.

While sitting, make sure your lower back is getting enough support. If possible, you should have an ergonomically designed chair for your office. Otherwise, try placing a pillow or rolled up towel behind your lower back to keep you upright and prevent slouching.

If you sit for long periods of time, get up to walk around about every hour, arching your back gently and trying a few simple stretches. Even if you’re driving, stop as often as possible to stretch. Don’t carry bulky items, such as wallets, in your back pockets while you’re sitting as this can place extra stress on the back.

If you stand all day, have a small stool handy to prop up one foot at a time. If possible, lean against a wall or counter.

For your resting hours, buy a mattress with good back support that’s also comfortable for you. Lying on your back with a small pillow under your knees is the ideal sleeping position. If that is uncomfortable, try sleeping on your side with a pillow between your knees. Sleeping on your stomach places too much stress on your back, but if you must, be sure to place a small pillow underneath your abdomen.

Lifting Techniques

Improper lifting of heavy objects causes many back injuries. People may not lift properly for a long time and realize it only when the back is damaged enough to cause pain.

If you must lift a heavy object, take some time to prepare. First, make sure that you can carry the load–just lift up a corner and test it. Then determine where you are going to move the object and choose the shortest route possible.

A few important tips when lifting or moving a load:

  • When bending down, always bend at the knees–never at the waist.
  • Keep the object close to your body.
  • Don’t twist your body.
  • Avoid lifting over your head or over an obstruction.
  • When lifting a heavy object below chest level, always tighten your abdomen muscles to place less of the load on your spine.
  • When moving a heavy object, push it instead of pulling it.
  • Whenever possible, use a cart to carry your luggage.
  • If the load is too heavy, ask for help.


Simple stretches throughout the day can help make your back more flexible and strong. Stretches should not be painful or increase your blood pressure. Ask your physician or therapist for stretches to relieve your specific symptoms and increase your flexibility.

Here are some brief stretches that will help relieve pressure on the back, especially if you bend or lift frequently, or sit for long periods of time.

  • While standing, place your hands on your lower back and lean backward gently, without tipping your head backward.
  • Stretch your hamstrings – those muscles in the back of your thigh that help keep your back mobile. While sitting or lying on your back, bend one leg up and hold your thigh.


Exercising your back muscles can strengthen and protect the muscles, helping to prevent injuries. Abdominal exercises can also help keep your back strong. You can ask your doctor or physical therapist to show you some special back strengthening exercises. While many forms of exercise can be helpful to the back, some sports–such as golf, tennis, racquetball and football–can be harmful if not played properly. These sports place pressure on the spine because they involve frequent twisting, bending or impact.

When playing these sports, be sure to warm up beforehand to get your muscles ready. If you already have back problems, ask your doctor what sports you can play and what special precautions should be taken.

Lifestyle Changes

There are several other changes you can make to decrease your risk for back pain:

Lose weight. Since excess weight can pull the spine out of alignment and cause a back injury, it’s important to keep your weight down. Do some aerobic exercises such as bicycling, walking or running to help you lose the excess pounds. It’s also important to maintain a healthy diet that’s high in fruits, grains and vegetables. In addition to causing weight gain, a poor diet can also make your back weaker and more susceptible to injury.

Lower stress. Stress can create muscle tension, causing a loss in flexibility that can lead to back pain. To reduce stress, try exercise, yoga, meditation, getting more sleep or listening to music.

Stop Smoking. Smoking puts you at increased risk for back problems since your blood has trouble delivering oxygen to working tissues, delaying tissue healing, making your back weaker.

Minimally Invasive Spine Surgery Center

The Spine Institute utilizes all current technology to perform the least invasive surgery possible and still provide the most effective and safe results. Minimally invasive microsurgical and endoscopic techniques are used on an inpatient or outpatient basis.

The Spine Institute surgeons are at the leading edge of minimally invasive spine surgery.  Only 10 years ago, if you had spine surgery, you could expect it to take as much as one year before you would be able return to normal activities. Minimally invasive techniques, however, are changing the face of spine surgery. What used to result in a week-long hospital stay, a year’s recovery period and a large scar has been diminished to a few days, a few months and a few small scars.

What is Minimally Invasive Spine Surgery?

Minimally Invasive Spine Surgery is performed through small incision, often with the aid of very small devices or cameras designed for viewing internal portions of the body.  Small surgical instruments are passed through small incisions, which are later closed with sutures and covered with surgical tape.  Is this technique applicable for all forms of spinal surgery? No. Nor is it appropriate for all patients. While the field of minimally invasive surgery is changing rapidly, four main types of minimally invasive spine surgery currently are being performed at The Spine Institute:

What are the benefits of minimally invasive spine surgery?

Minimally invasive spinal surgery typically allows for the same outcomes as conventional spine surgery. Benefits of minimally invasive back surgery include:

Smaller Scars

  • Shorter hospital stay
  • Reduced pain after surgery
  • Shorter recovery time and quicker return to daily activities

How will I know if minimally invasive spinal surgery is appropriate for me?

Every patient is evaluated individually. Your surgeon will discuss the various treatment options available to you.


Reference Links

The following websites are good sources of information that describe the symptoms and potential treatments of spine conditions and disorders in layman’s terms. They contain helpful Q&A sections that may be able to address any practical questions you have about limiting your activity, your recovery process and new alternative treatment options. They also have sections on patient experience that will give you first-hand accounts of what to expect.
Dr. Spine
Neck Reference
Spine Universe
Spine Health

Associations, Foundations, and Societies

American Academy of Neurological Surgeons
Society dedicated to advancing the specialty of neurosurgery in order to provide the highest quality of care to patients that suffer from neurological disorders.


American Academy of Neurology
An international professional association comprised of more than 18,000 neurologists and neuroscience professionals dedicated to advancing the care of those with neurological disorders.


American Academy of Orthopedic Surgeons
National center for orthopedic surgeons, which aims to keep practicing physicians up-to-date with the latest clinical and technological developments with Continuing Medical Education Workshops and Journals. This website is a good resource to learn more about the general field of orthopedics and spine surgery.


American Academy of Pain Medicine
This is the academic center for physicians in the field of pain medicine. It gives an overview of the specialty and the techniques that pain management specialists frequently utilize.


American Academy of Pain Medicine and Rehabilitation
The National Medical Society representing the physicians in the practice of physical medicine and rehabilitation. It highlights the role of physiatrists and the methodologies they use when treating pain.


American Back Society
Nonprofit organization that provides health care professionals a forum to discuss ways of relieving pain and reducing impairment through proper diagnosis and treatment of patients suffering from spinal pathology.


American Pain Foundation
Nonprofit patient resource and advocacy group aimed at patients in pain. APF strives to improve the quality of life for people in pain by facilitating the flow of practical information, increasing the understanding of pain, and advocating against barriers of effective treatment.


International Spine Injection Society
Association of physicians that is interested in developing, implementing, and standardizing injection techniques for the purpose of diagnosing back pain.


National Osteoporosis Foundation
Voluntary health organization dedicated solely to osteoporosis and bone health. The NOF is committed to improving the lives of those with osteoporosis, educating people about prevention, and helping to find a cure. Includes a comprehensive section that helps patients deal with all aspects of the disease.


National Scoliosis Foundation
More information about the disease and its treatments. Has a library of articles that are helpful to understanding everything from the clinical origins of scoliosis to developments in treatment options.


North American Spine Society
Nonprofit organization that seeks to educate both spine care professionals and patients. Has a thorough patient section that includes spine health tips and your rights as a patient.


Scoliosis Research Society
Professional organization that focuses on the continuing education of health care professionals and ongoing research on spinal deformities. The website is another resource for learning more about the disease.


Society for Minimally Invasive Spine Surgery
A good resource for understanding about minimally invasive spine surgery as a treatment option for spinal disorder or chronic back and neck pain.


Spondylitis Association of America
A good resource for understanding more about the clinical aspect of the disease, how to manage symptoms, and the progress of ongoing research.

Insurance and Authorizations Policies

Referrals and Pre-Authorization Requirements

Office Visits

Please be advised that any required insurance authorizations are the patient’s responsibility. Please obtain them before calling to make your appointment at Spine Institute of New York, if possible.  They must be brought with you to your appointment or you may not be able to see the physician.

X-ray, MRI or CT-Scan Pre-Certifications

You must give our office at least 48 hours to obtain you pre-certification number. Once our office gets the pre-certification number, we will call you with that number and then you may schedule your appointment for your X-ray, MRI or CT-Scan. Medicare does not require any pre-certification.

Insurance Information

If you do not have the required insurance information at the time of your office visit, even if you have valid medical insurance, you will be asked to pay in full for your office visit if you wish to see the doctor. You will be reimbursed if you can later provide valid insurance information and/or referrals if necessary. If you do not wish to pay at that time, you always have the option to reschedule your visit.

Medicare, Workers’ Compensation, No-Fault: The physicians of Spine Institute of New York accept these insurances, as long as complete and valid information is provided. Please contact the Spine Institute prior to making your appointment with any questions.  We will accept faxed authorizations.  Our phone number is 212-844-8680.

Co-payments and Deductibles: All office visit fees, if your medical insurance requires them, are due on the day of your appointment and must be collected at that time. Contact your insurance company to confirm if they are necessary and for the specific amount. Full office visit fees payable at the time of appointment are required for patients seeing physicians not in their medical plans and for patients without medical insurance unless arrangements have been made with the office manager prior to scheduling the appointment.

Medical Records Request


Spine Institute of New York maintains compliance with HIPAA regulations regarding confidentiality of patient’s medical records. A signed Release of Medical Authorization Form (download now) is required from the patient to obtain copies of medical records. There is a fee associated with the copying of medical records.

Film Requests

A patient may sign out their films. The patient is responsible for the safekeeping and return of the films for any future visits.

Please contact our Medical Records Office at (212) 844-8680 for information and fees associated with the copying of films. Films are sent via Regular Mail unless the patient provides us with a credit card or Federal Express Account number.

Submitting Requests

  1. Download a Medical Information Release Form.
  2. After downloading the form and completing the information, please use the following mailing address or fax number to submit your medical record/film request.
By fax:

(Attention: Medical Records)


Mailing Address:

Spine Institute

Beth Israel Medical Center

10 Union Square East, Suite 5P

New York, NY 10003

Attn: Medical Records Request 

The Spine Institute will make every attempt possible to process medical record/film requests in a timely manner. Some medical record/film requests may be in an off-site storage and may take up to ten business days to process.

Contact Our Office

Beth Israel Medical Center
10 Union Square East | Suite 5P
New York, NY 10003

Phone: (212) 844-8680
Fax: (212) 844-8681

Office Hours

Office Open:
Monday-Friday, 8am-5pm

Telephones are answered:
Monday-Friday, 9am-4pm
*Excluding holidays

Patient Education

Watch our patient education videos to learn more about spinal conditions and procedures.

 Conditions & Diagnosis
 Treatment Options