Overview
Anterior cervical discectomy and fusion (ACDF) is a procedure which involves removing one or more intervertebral discs of the cervical spine with the fusion of two or more vertebrae. This procedure is used to treat disc herniations, cervical spinal stenosis, radiculopathy, and myelopathy. The surgery is performed through the front of the neck with a small 1-inch incision just off the midline to the left. A dissection is carried through a small amount of muscle and the structures of the neck are retracted out of the surgical field to expose the vertebrae and the disc(s). Next, the intervertebral disc is removed, effectively taking the pressure of the nerves and spinal cord. In its place, a titanium spacer is placed between the vertebrae to stabilize the spine. Finally, a small metal plate is screwed into place extending over each vertebra to allow for immobilization of the segment and the bony fusion to gradually occur.
Post operative expectations
Many patients report rapid relief of symptoms shortly after surgery. The most common complaint after surgery is of minor difficulty swallowing and hoarseness in the voice which generally resolves within a few days. Activity is restricted for a short time after surgery. Most patients are able to return to work after 4-6 weeks and are ready to return to full, unrestricted activities by 3-4 months.
