ACDF

Overview

In an ACDF procedure, the surgeon makes an incision in the front of the neck to access the cervical spine. The damaged disc is removed, and the space is filled with a bone graft or spacer to promote fusion between the adjacent vertebrae. Metal plates and screws may be used to provide additional stability during the healing process.

Indications

• Chronic Neck Pain: Pain not relieved by conservative treatments, such as physical therapy or medication.
• Radiculopathy: Symptoms like arm pain, numbness, or weakness caused by nerve compression.
• Spinal Stenosis: Narrowing of the spinal canal leading to nerve compression.
• Cervical Spondylosis: Degenerative changes in the cervical spine causing pain and dysfunction.

Pre-Procedure

• Medical Evaluation: Comprehensive assessment, including imaging studies (MRI, CT, X-rays) to evaluate the cervical spine.
• Medication Review: Discussion about current medications; patients may need to stop blood thinners or certain supplements.
• Fasting: Patients are instructed to avoid food and drink for several hours before surgery.
• Preoperative Instructions: Guidelines for hygiene, such as cleaning the surgical area, and arranging for post-operative care.

Procedure

• Anesthesia: General anesthesia is administered to ensure the patient is comfortable and pain-free.
• Incision: A small incision is made in the front of the neck to access the cervical spine.
• Discectomy: The damaged disc is removed to relieve pressure on the spinal cord and nerves.
• Fusion: A bone graft or spacer is placed between the adjacent vertebrae, and metal plates or screws may be used to stabilize the area.
• Closure: The incision is closed with sutures or staples, and a dressing is applied.

Post-Procedure

• Recovery Monitoring: Patients are monitored in a recovery area for vital signs and potential complications.
• Pain Management: Medications are provided to manage pain and discomfort.
• Physical Therapy: Rehabilitation may begin shortly after surgery to promote mobility and strengthen the neck.
• Follow-Up Care: Scheduled appointments to assess the surgical site and monitor recovery progress.
• Activity Restrictions: Patients are advised to avoid heavy lifting and strenuous activities for a specified period to support healing.