Anterior Cervical Discectomy and Fusion (ACDF)
Anterior cervical discectomy with fusion (ACDF) is a surgical procedure designed to relieve neck pain by reducing pressure on nerve roots and/or the spinal cord caused by a herniated disc or bone spurs in the neck.
What is anterior cervical discectomy and fusion?
An anterior cervical discectomy and fusion combines two procedures into a single surgery:
- Cervical discectomy
- Spinal fusion
In a cervical discectomy, the surgeon accesses the cervical spine through a small incision in the front of the neck (anterior) and removes all or part of the disc – and/or in some cases bone material – that’s pressing on the nerves and causing pain.
In a spinal fusion, the surgeon places a cage between two or more of the small bones that form the spine (called vertebrae). As the body heals, the bone graft, cage, and vertebrae fuse together, stabilizing the spine.
Why is my doctor recommending an anterior cervical discectomy with fusion?
Anterior cervical discectomy and fusion is used to treat herniated discs and degenerative changes that have not responded to conservative treatment.
Herniated discs and bone spurs can put pressure on nerve roots or the spinal cord, causing symptoms that may include:
- Pain in the neck and arms
- Lack of coordination and dexterity problems
- Numbness or weakness in the arms, forearms, or fingers
A cervical discectomy can ease pressure on the nerves, relieving these symptoms.
An anterior cervical discectomy with fusion is typically recommended only after non-surgical treatment methods fail. Your surgeon will take a number of factors into consideration before making this recommendation, including:
- The condition to be treated
- Your age, health, and lifestyle
- Your anticipated level of activity following surgery
Please discuss this treatment option thoroughly with your doctor.
How is an ACDF performed?
Through a small incision made near the front of the neck, the surgeon:
- Removes the intervertebral disc
- Relieves the pressure on the nerve roots by removing the source of the compression
- Places a bone graft between the adjacent vertebrae
- In some cases, places metal plates or pins that will provide extra support and help ensure proper fusion
After an ACDF, the patient will have a one-night hospital stay or same-day discharge.
How long will it take me to recover?
Your surgeon will give you a specific postoperative recovery plan to help you return to your normal activity level as soon as possible. Work closely with your spinal surgeon to determine the appropriate recovery plan for you, and follow his or her instructions to optimize the healing process.
The amount of time that you have to stay in the hospital will depend on this treatment plan. You typically will be up and walking in the hospital by the end of the first day after the surgery. You may return to work in three to six weeks, depending on how well your body is healing and the type of work or activity level you plan to return to.
OrthoNC offers comprehensive spine expertise
OrthoNC’s spine specialists diagnose spine problems and design custom treatment plans built on a conservative, non-surgical approach. Most patients find relief through treatments including guided injections, specialized physical therapy, exercise, activity modification, and medication. When conservative care does not relieve symptoms, our highly skilled surgeon offers proven, evidence-based surgical options. Together with you, we will determine the right course of action.
Start your journey to a healthy spine. Find your spine expert, make an appointment online, or call us at (919) 562-9410 to schedule a spine consultation.