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, MD, PhD 3 2017 42 3 Peripheral Nerve A10 A11 Copyright held by the American Association of Neurological Surgeons. You may not sell, republish, or systematically distribute any published materials without written permission from JNSPG. 2017 Introduction: The purpose of this study is to evaluate the efficacy and safety of cervical total disc replacement (TDR) for symptomatic adjacent segment degeneration (ASD) with previous anterior cervical discectomy and fusion (ACDF) was done, compared to ACDF in the treatment of cervical ASD