Anterior Cervical Discectomy and Fusion (ACDF)
Anterior Cervical Discectomy and Fusion (ACDF) is a surgical procedure in which one or more cervical discs is removed and replaced a fusion device, commonly a spacer, to allow the bone to fuse across the disc space. This is similar to other types of fusion surgery; however, it is performed on the cervical spine, through an anterior approach.
Why ACDF?
Those patients with certain issues affecting the cervical spine or neck are great candidates for ACDF. Some of the common conditions that can be addressed using ACDF are:
- Spinal Stenosis
- Degenerative Disc Disease
- Spondylolisthesis
- Other issues affecting the Cervical Spine.
How Does an ACDF Work?
The procedure is done by first creating a horizontal incision, generally about 1-2 inches long, on the front portion of the neck. For men the incision is placed immediately left of the “Adam’s Apple”. The muscle tissue within the neck is carefully moved aside, and retractors are used to create an opening to the spine. Once the surgeon gains access to the spine, he will remove the disc between the vertebrae, and any herniated discs, bone spurs, or overgrown tissue, is pulled away from the nerves and removed, alleviating any nerve root compression.
Then a fusion device is usually placed in place of the damaged/diseased disc, between the vertebrae, and affixed with screws or some type of anchoring. A small metallic plate is sometimes used to cover the vertebrae and hold the spacer in place. The instruments are removed, and the incision is closed.
Patients will usually need an hour or two of post procedure recovery rest and will likely be discharged that day. Patients will usually need a soft neck brace or soft collar to protect the neck from moving. Patients will generally be able to resume normal activities within 2-4 weeks. If you are suffering from cervical spine pain, contact Dr. Vikas Varma today and schedule your next appointment today.
