Anterior Cervical Discectomy & Fusion (ACDF)
ACDF is an operation to relieve pressure on nerve roots and the spinal cord caused by a herniated disc or bone spur in the neck. A herniated disc is a condition in which the soft centre of the disc bulges out through the damaged outer ring. Herniated discs or bone spurs on nerve roots, ligaments or the spinal cord can cause pain in the neck and arms, numbness, weakness, tingling and loss of sensation in the arms, forearms or fingers, and lack of coordination. By reducing the pressure on the nerve, ACDF can relieve pain and symptoms.
Treatment
The ACDF procedure is performed under general anaesthesia. The cervical spine is accessed through a small incision at the front of the neck. The surgeon removes the damaged disc and any bone spurs or other tissue compressing the nerve roots or spinal cord. Following decompression, a bone graft or interbody cage is inserted into the disc space to maintain normal disc height and promote fusion between the adjacent vertebrae. Instrumentation such as plates and screws may also be used to provide stability and support during the healing process.
Recovery
Following surgery, your neck may feel stiff or sore, and you may find it uncomfortable to sit or remain in one position for extended periods. Activities such as lifting, bending, or twisting may be restricted during the early stages of recovery to avoid placing strain on the neck and spine. Pain medication is commonly prescribed to assist with post-operative discomfort.
Recovery varies depending on the individual patient and the extent of the surgery performed. As a general guide, patients can expect:
- A hospital stay of approximately three to five days
- Avoidance of heavy lifting during the initial recovery period, with gradual progression of activity as advised
- Time away from work to allow for healing and recovery
- A temporary return to work on modified or restricted duties
- Restrictions on driving for approximately four to six weeks, depending on recovery progress
- Avoidance of swimming for four to six weeks
- Physiotherapy and rehabilitation, as required
- Ongoing pain management, if necessary
Dr Tollesson will provide specific recovery recommendations based on your individual circumstances and surgical procedure.
