Interbody Fusion Devices in the Treatment of Cervicobrachial Syndrome

Inclusion Criteria: * Age 18 75 years * Radicular signs and symptoms in one or both arms (i.e., pain, paraesthesiae or paresis in a specific nerve root distribution) or symptoms and signs of acute or chronic myelopathy. * At least 8 weeks prior conservative treatment (i.e., physical therapy, pain medication) * Radiographic diagnosis of cervical disc herniation and/or osteophyte at 1 level (C3-C4 to C7-T1) in accordance with clinical signs and symptoms * Ability and willingness to comply with project requirements * Written informed consent given by the subject or the subject's legally authorised representative Exclusion Criteria: * Previous cervical surgery (either anterior or posterior) * Increased motion on dynamic studies (\> 3 mm) * Severe segmental kyphosis of the involved disc level (\> 7 degrees) * Patient cannot be imaged with MRI * Neck pain only (without radicular or medullary symptoms) * Infection * Metabolic and bone diseases (osteoporosis, severe osteopenia) * Neoplasma or trauma of the cervical spine * Spinal anomaly (Klippel Feil, Bechterew, OPLL) * Severe mental or psychiatric disorder * Inadequate Dutch language * Planned (e)migration abroad in the year after inclusion