Anterior Cervical Decompression and Fusion

Herniated discs can occur in the neck as well as in the low back. When conservative measures fail to relieve neck and arm pain an anterior cervical decompression and fusion (ACDF) may be performed. Traditional surgery involved using a bone graft taken from the pelvis. This was often the most painful part of the operation. In addition, a rigid neck brace was worn for 3 months after the surgery, limiting activities such as driving. Surgeons have used bone from a bone bank as an alternative, however the results were not as good as with the use of the patient's bone. Recent advances in technology and instrumentation have given surgeons new options. Our surgeons have helped to pioneer the use of this technology to improve the results of the ACDF.

The herniated or degenerated disk is approached from the front through a transverse incision on the side of the Adam's apple. Cosmetically, this is the most favorable incision. The spine is then approached and the disc is completely removed including the herniated portion. A specially prepared bone graft or implant is inserted into the disc space. In addition, NHNSI surgeons apply a titanium plate to the front of the spine to provide immediate stability to the graft. This allows the patient to avoid wearing the rigid collar and return to normal activities much sooner, while the fusion heals.

As you read this information, keep in mind that all treatment and outcome results are specific to the individual. Only your physician can provide you with a detailed list of your specific indications, precautions, potential adverse events, and other important medical information.

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