Posted by LNSA on June 26, 2017
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The neurosurgeons of Lancaster NeuroScience & Spine Associates perform a very wide variety of head, neck and back related procedures to treat an array of symptoms and conditions. In our What We Do series we will discuss a sample of our most common procedures and conditions in greater detail so patients can gain more understanding of their ailments and the procedures we perform to try to resolve the issue. In this article we will discuss Anterior Cervical Discectomy & Fusion (ACDF).

What is an Anterior Cervical Discectomy & Fusion?

An Anterior Cervical Discectomy & Fusion (ACDF) procedure is a type of neck surgery performed to alleviate pain, numbness, weakness and tingling caused by spinal cord or nerve root compression as a result of a herniated disc or spinal canal narrowing. The procedure is performed on the cervical portion of the spine (the top) from an anterior approach (front).

The ACDF Procedure

The procedure is done from the front (anterior) of the spine through the throat area. The surgeon approaches the spine between the neck muscles and the esophagus and trachea to expose the disc and vertebrae. The procedure is performed from the front as it provides better access to the disc. Once the surgeon gains access, the herniated disc is removed leaving empty space between the vertebra. A spacer (sometimes referred to as a cage) is inserted to prevent the vertebrae from rubbing together or collapsing. The vertebra and spacer are then fixed in place with a metal plate and screws.

With the disc removed, there is no longer pressure on the nerves, which should alleviate the symptoms.

Recovering from an ACDF

Many times an ACDF is performed as an outpatient procedure and patients are up and walking the same day of surgery. Recovery times vary, typically 4-6 weeks. Follow-up visits will be scheduled to ensure that the procedure was successful and the hardware is in place properly. We perform a large portion of our ACDF procedure as our outpatient surgery center, The NeuroSpine Center.

Because this approach does not require detaching musculature from the bone, recovery is generally much easier with less prolonged discomfort. ACDF procedures are commonly performed and highly successful interventions performed routinely on thousands of patients per year by the neurosurgeons at LNSA. If you are suffering from neck, radiating arm pain or weakness, contact our office for further consultation. ”

  – Neurosurgeon James Thurmond


Learn more about Anterior Cervical Discectomy & Fusion by viewing our patient education video here.


If you would like to schedule an appointment with one of our physicians you can fill out our consultation request form and we’ll get it touch with you to discuss your options

Category: Dr. Thurmond, Patient Education