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Anterior Cervical Discectomy and Fusion
A Comprehensive Guide for Patients
ACDF is a common spine surgery used to relieve pressure on the spinal cord or nerves in the neck (cervical spine). It is typically recommended for patients with herniated discs, spinal stenosis, or degenerative disc disease that has not improved with non-surgical treatments.
What Is ACDF?
ACDF is a two-part surgery:
Discectomy: The damaged disc is removed to relieve pressure on the spinal cord or nerve roots.
Fusion: After the disc is removed, the space is filled with a bone graft or implant. A small plate and screws are used to secure the area and allow the bones to heal and fuse over time.
The procedure is done through the front (anterior) of the neck to avoid disturbing muscles and bones in the back.
Why Might You Need ACDF?
We may recommend ACDF if you have:
Neck pain that travels to the shoulder or arm.
Numbness or tingling in your hands or fingers.
Weakness in the arms or hands.
Spinal cord compression causing balance or coordination issues.
Persistent symptoms that do not improve with physical therapy, medication, or injections.
What to Expect
Before Surgery
You’ll undergo imaging studies (like MRI or CT scans), blood tests, and a medical evaluation. We’ll explain the procedure, answer your questions, and discuss risks and benefits.
During Surgery
The procedure is performed under general anesthesia.
A small incision is made in the front of your neck.
The damaged disc is removed, and a spacer or graft is placed.
A titanium plate and screws may be used to hold everything in place.
The surgery usually takes 1–2 hours.
After Surgery
Most patients go home the same day or the next morning.
You may have a sore throat, hoarseness, or neck discomfort.
A soft neck brace may be recommended for support.
Recovery time varies, but most people return to normal activities within 4–6 weeks.
Fusion takes several months, and we will monitor healing with follow-up X-rays.
Postoperative Imaging
These post-operative X-rays show the successful placement of instrumentation following an anterior cervical discectomy and fusion (ACDF) at the C5–C7 levels. The frontal and lateral views demonstrate stable alignment with a well-positioned anterior cervical plate and screws securing the fused vertebrae. The imaging confirms proper hardware placement with no signs of complications. At our practice, we ensure thorough follow-up and imaging review to support optimal recovery and long-term spinal stability.
Risks and Complications
Like all surgeries, ACDF carries some risks, although complications are rare. These may include:
Infection.
Difficulty swallowing (temporary).
Hoarseness or voice changes.
Non-union (failure of the bones to fuse).
Nerve injury (very rare).
Hematoma formation requiring re-operation.
Stroke.
We take every precaution to minimize these risks and ensure your safety and comfort.
Your Recovery Journey
Our care team will guide you through every step, from preparing for surgery to your final follow-up visit. We focus on personalized care, rapid recovery, and helping you get back to your life as soon as possible.
Have Questions?
We’re here to help. If you're experiencing neck pain, arm symptoms, or have been told you may need cervical spine surgery, contact our office to schedule a consultation.
