Spotlight Video | Discectomy to Fusion: The ACDF Journey | Andrew J. Cordiale, DO, MS
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Dr. Andrew J. Cordiale is a board-certified orthopedic spinal surgeon based in New York. With a deep sense of care for his patients and community, Dr. Cordiale's primary goal is to improve his patients' quality of life. He believes that utilizing non-operative treatments to the fullest extent possible should be the first... more
Understanding ACDF (Anterior Cervical Discectomy & Fusion) Surgery
Overview Anterior cervical discectomy and fusion (ACDF) surgery is a common procedure designed to alleviate pain caused by pinched nerves in the neck. This surgery involves removing the problematic disk between the affected vertebrae and fusing the bones together. While you may experience a reduction in neck flexibility, the primary benefit is significant pain relief. Recovery from ACDF surgery can take between six months to a year.
Procedure Details Before undergoing ACDF surgery, patients will have a thorough consultation with their surgical team, including physical exams and imaging tests. On the day of surgery, an anesthesiologist will administer anesthesia to ensure the patient feels no pain. The surgeon makes a small incision in the neck, removes the affected disk and bone spurs, and then fuses the vertebrae using bone grafts and sometimes a metal plate with screws. The entire surgery typically lasts one to two hours.
Risks and Benefits The primary benefit of ACDF surgery is relief from chronic pain and other symptoms caused by nerve compression. The success rate is high, with 85% to 95% of patients experiencing significant improvement. However, as with any surgery, there are risks including difficulty swallowing, infection, bleeding, and potential nerve damage.
Recovery and Outlook Recovery from ACDF surgery requires patience and adherence to post-operative care instructions. Patients can expect to resume light activities shortly after surgery, but should avoid strenuous tasks for at least six weeks. Full recovery, including the fusion of the vertebrae, can take up to a year. Physical therapy is often recommended to help regain strength and flexibility.
When to Call the Doctor Patients should contact their healthcare provider if they experience severe pain, continuous bleeding, fever, or any signs of infection after surgery. Prompt communication with the care team can ensure a smooth and successful recovery.
Final Thoughts ACDF surgery is a significant procedure that can offer substantial relief from chronic neck pain. For those considering this surgery, understanding the process, risks, and recovery timeline is crucial. Always follow your healthcare provider's guidance to achieve the best possible outcome.
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