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- Multilevel cervical arthroplasty-clinical and radiological outcomesPublication . Reinas, R; Kitumba, D; Pereira, L; Baptista, AM; Alves, ÓLCervical disc arthroplasty (CDA) is a valid option for single-level cervical disc disease (CDD) as an alternative to fusion. However, the use in 3- and 4-level disc disease is under scrutiny with scarce data published so far. Our aim was to study clinical and radiological outcomes of arthroplasty in patients with multilevel CDD.