Anterior Cervical Discectomy with Fusion (ACDF)

Anterior cervical discectomy with fusion is a surgical procedure to reduce pressure on the spinal nerves and/or the spinal cord due to compression from a herniated disc in the neck. This can cause pain in the neck and arms as well as weakness and paralysis. In anterior cervical discectomy with fusion, the cervical spine is approached through a small incision in the front of the neck and the disc causing compression or exerting pressure on the nerves is removed. Placing a bone graft between the two affected vertebrae causes the vertebrae to unite creating a solid bone. This provides stability in the joint and maintains the disc height.

Before recommending surgery, several factors such as your age, health status, lifestyle and anticipated level of activity following surgery are considered.

Your surgeon makes a small incision in the front of the neck on one side and locates the intervertebral disc that is compressing the nerve root. The disc is then removed and a bone graft placed between the two vertebral bodies. Metal plates or pins may be used to provide support and stability as the vertebrae fuse. The incisions are closed with absorbable sutures and covered with a dressing.

You will be able to walk by the end of the first day after the surgery. Your doctor will provide you with specific instructions including exercises to support recovery. You may be able to resume your work within 3-6 weeks, depending on your body’s healing status and the kind of work/activity you want to resume.

As with any surgery, anterior cervical discectomy with fusion may involve certain complications such as failure of fusion, infection, blood loss, blood clots, nerve damage, and bowel and bladder problems.