Is ACDF Considered a Major Surgery?

The procedure is considered a major surgical intervention. Despite its classification, however, it’s generally safe and boasts a high success rate of between 73% and 100%.

ACDF is considered a major surgical procedure for several reasons.

The recovery process can take between three to six months, which is one reason why you should approach it as a serious surgical intervention. Additionally, it may take up to 12 months for your bones to completely heal from the procedure. The good news is most patients can return to unrestricted physical activities after three to six months.

If you want to optimize your recovery timeline, you must perform all follow-up therapy as recommended by your surgeon. You should also adhere to any limitations they place on your activity regimen during the weeks following your procedure.

It’s perfectly normal to be nervous before undergoing any major surgical procedure, especially one that involves your cervical spine. If you have any concerns before surgery, don’t hesitate to discuss them with your provider. Your spine surgeon can reassure you and talk you through the procedure in-depth.

When Is ACDF Surgery Necessary?

Anterior cervical discectomy and fusion may be necessary if you’re suffering from severe nerve root or spinal cord compression.

Your provider can determine the presence and extent of compression by conducting imaging studies. They’ll likely recommend conservative treatments like medications or physical therapy before exploring ACDF surgery as an option.

Progressive neurological deficits are another indicator that ACDF surgery may be necessary in your case. Symptoms like worsening weakness, numbness, or coordination difficulties can indicate nerve impairment.

Significant pain that impacts your quality of life may also be a reason to consider ACDF surgery. Non-surgical interventions can’t always alleviate chronic neck pain that radiates to your arms. If your pain interferes with daily activities and your overall well-being, it may be time to undergo anterior cervical discectomy and fusion.

Seek a thorough evaluation by a qualified neurosurgeon or orthopedic spine surgeon to determine whether ACDF is right for you. You should always seek a second opinion if you need additional perspective to support your decision-making process.

What to Expect During and After ACDF Surgery

Before you undergo anterior cervical discectomy and fusion, it’s important to know what to expect during and after the procedure.

During the Procedure

Your surgeon will perform ACDF while you’re under general anesthesia. You’ll be positioned on your back, and your surgeon will make a small incision in the front of your neck to access the damaged disc in your cervical spine.

The surgeon will carefully remove the damaged discs to relieve pressure on your spinal cord and nerve roots. They’ll then place a bone graft or synthetic implant in the disc space to fuse the adjacent vertebrae.

Many procedures involve the use of a metal plate and screws to secure the vertebrae during the fusion process. The entire procedure takes one to two hours, not counting the time it takes you to fall asleep and wake up.

Recovery and Rehabilitation

Postoperative recovery may involve an overnight hospital stay. However, most patients are able to go home within a few hours after the procedure. You may experience some throat soreness and difficulty swallowing, which are normal side effects.

Your surgeon may recommend that you wear a neck brace for a few days or up to a few weeks after the procedure. The brace will help keep your cervical spine stable while the graft begins to heal.

It’s vital that you return to your normal activities gradually. Follow your doctor’s instructions and avoid strenuous tasks that could damage the fusion site.

Your doctor might also recommend physical therapy to restore your neck strength and flexibility. Complete all recommended treatments to give yourself the best chance of long-term success.

Authors of this Blog: The Eatontown Spine Team