Fig. 1. A 56-year-old female presented with cervical radiculopathy. Radiographic studies showed C5/6 and C6/7 disc herniations with advanced spondylosis (A, B). She underwent 2-level cervical disc replacement (CDR) with resolution of radiculopathy. Several months later, the patient developed severe axial neck pain. Radiographs demonstrated proper placement of CDRs (C, D) with lucency around the superior aspect of the C5/6 CDR (E). The patient eventually underwent a one-level corpectomy (F), with complete resolution of axial neck pain. This case demonstrates poor patient selection, as advanced spondylosis is a contraindication to CDR.