I had the same questions before surgery and the answer was that from what we know today the vertebrae that has an implant attached to it actually strengthens due to bonegrowth around the implant. This is a crude summary of what I was told.
One issue is that the center of the vertebrae is rather brittle and artificial discs can get pushed into it. Supposedly in a successful operation there will eventually be bonegrowth where the disc meets the vertebrae and prevent such a thing from happening.
I also asked about the pressure between vertebrae etc. and it appears that there is quite a bit of pressure, I don't know the figures but you definitely wouldn't want your finger in between them.
Helmut



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