**1. Introduction**

Spine surgeons and patients together are confronted with several surgical options when managing cervical pains which have not responded to conservative treatment options. Multilevel cervical disc pathology is defined as two or more segments of the cervical spine that have herniated, or degenerated, which are subsequently causing significant axial pain with radiculopathy, resulting in disability and a loss of productivity. Anterior cervical discectomy and fusion (ACDF) is considered the gold standard treatment for multilevel cervical spondylosis. However there are some long term drawbacks involving the development of subsidence, pseudarthrosis and the degeneration of adjacent segments [1–4]. Cervical artificial disc replacement (C-ADR) has been demonstrated to be a safe and effective means of treating single-level or multilevel cervical disc pathology by several prospective studies from the United States Food and Drug Administration and by some meta-analyses [5–11]. In patients who have multilevel pathology, there is a growing enthusiasm towards definitive management in the form of a cervical hybrid arthroplasty [12–15]. The cervical hybrid arthroplasty is a procedure wherein an artificial disc replacement can be placed at one level, with a cervical fusion device implanted at another nearby injured disc (**Figure 1**).
