Thank you so much for finding and posting this. I read some and skimmed the rest of the report and would agree with your analysis that there is no gross reason for denial of cervical ADR--for example, horrible adverse events. In fact, the data presented actually show more frequent and more serious adverse events for cervical fusion. So, in terms of thinking about cervical ADR in general, this is reassuring.
In terms of the conclusions of the report, there is much one could take issue with and a few things that are even laughable, but that is besides the point. As has been pointed out, demonstration that ADR preserves adjacent segments will mark a turning point in coverage for the surgery; however, in the data presented for lumbar ADR, there were a few instances of adjacent level deterioration...interesting.
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