SPINAL PROCEDURES

Anterior cervical discectomy and fusion (ACDF)

What is an anterior cervical discectomy and fusion (ACDF)?

An anterior cervical discectomy and fusion (ACDF) is a surgical procedure used to treat nerve compression in the neck caused by a herniated or degenerated disc. During the procedure, the surgeon removes the damaged disc through an incision in the front (anterior) of the neck to relieve pressure on the spinal cord or nerves. The space is then filled with a bone graft or synthetic material, and the adjacent vertebrae are fused together for stability. This procedure helps alleviate pain, weakness, and other symptoms associated with cervical disc issues.

Conditions Treated with Anterior cervical discectomy and fusion (ACDF):

  1. Cervical herniated disc: A cervical herniated disc occurs when the soft inner material of a disc in the neck (cervical spine) pushes through its outer layer, often due to wear and tear or injury. This can cause pressure on nearby nerves or the spinal cord, leading to symptoms such as neck pain, stiffness, numbness, tingling, or weakness that can radiate into the shoulders, arms, or hands.
  2. Cervical degenerative disc disease: Cervical degenerative disc disease refers to the gradual breakdown of the discs in the neck (cervical spine) due to aging or wear and tear. As the discs lose hydration and elasticity, they become less effective at cushioning the vertebrae, leading to neck pain, stiffness, and sometimes nerve compression.
  3. Bone spurs (osteophytes): Osteophytes are abnormal bony formations that develop in the joints or specifically in the spine. Hard bumps of excess bone form on the edges of the vertebrae compressing nerves leading to pain.
  4. Cervical spinal stenosis: Cervical spinal stenosis arises when the spinal canal begins to narrow, resulting in compression of neurological structures. Spinal stenosis in the neck results in numbness, tingling, weakness in the limbs, trouble with balance and walking, and neck pain.

FAQ

1. How long is the recovery time following an anterior cervical discectomy and fusion?

Six weeks is the standard period for recovery. Bone will continue healing and strengthening after this time. Dr Harrington will advise you if further recovery time is needed.

2. What should I avoid doing after an anterior cervical discectomy and fusion?

  • Avoid strenuous activities
  • Avoid driving for a specified time after the procedure
  • Smoking can impair bone healing and fusion, so it is important to avoid tobacco and nicotine products.

3. Do I need to wear a brace after my procedure?

Wearing a brace is not routinely prescribed but may be in certain circumstances.