Surgical strategy used in multilevel cervical disc replacement and cervical hybrid surgery: Four case reports

Figure 6 The surgical procedure of the hybrid surgery combining cervical disc replacement with ACDF in case 2. A: Decompression and endplate preparation were performed at C4/5, C5/6, and C6/7. Cervical disc replacement was performed before anterior cervical discectomy and fusion; B-D: Drilling, cutting, and implanting processes of cervical disc replacement were performed. The C5/6 and C6/7 disc spaces were supported by implant trails; E: Anterior cervical discectomy and fusion was performed at C5/6 and C6/7; F: Lateral radiograph was taken to confirm the implants in good position.