@barrm Hello and welcome to Connect. It may be specific to the surgeon that you consult, and my experience at Mayo was with Dr. Fogelson in Rochester. He does do both fusion and artificial discs for cervical spine surgery. You could also call the neurosurgery department and ask who does artificial disc surgery. I chose fusion over ADR for my situation. My fusion is at C5C6 and my movement for head turning is the same as before surgery because this level doesn't do much for head turning. That is mostly C1 & C2 with some help from C3 and C4. If you needed surgery on discs in the C1 to C4 range, that would affect head turning if fused and ADR could help preserve motion there.