Anterior cervical discectomy and fusion

This is a surgical procedure that combines a discectomy and insertion of a cage or piece of bone into the empty space left behind. The cage or piece of bone fuses with the vertebrae over time. Bone taken from the hip or artificial bone in the cage itself can be used to help fusion occur.

If you suffer from pain, weakness or numbness in your neck, arms and legs, a spinal disc may be pressing on spinal nerve roots. Your consultant may recommend a cervical discectomy to remove the problem disc from your neck, relieving the pressure on your spinal nerve root.

Your consultant will explain the procedure and answer any questions you might have. Because general anaesthetic is used during the procedure, you may need to fast for several hours before the operation.

Your consultant will tell you how long you should avoid eating and drinking. Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you.

After your surgery, you may need to wear a semi-rigid cervical collar when sitting and moving. The surgical wound is closed with sutures and clean dressings, which remain in place for a few days. At this point, the wound can be left uncovered.

You won't be able to drive for two weeks after your operation, as you'll have limited mobility and won't be able to view mirrors properly.

Anterior Cervical discectomy and fusion is successful in relieving arm pain in the majority of cases (90-100%). However arm numbness or weakness may continue for months afterwards.

Neck pain is also relieved but ACDF is more effective in treating arm pain.