Minimally Invasive Anterior Cervical Discectomy and Fusion (ACDF)
A minimally invasive ACDF allows the surgeon to relieve the pressure on the spinal cord or nerves from bulging discs and arthritis through a small incision in the neck.
BOOK A VISITACDF - A gentler neck fusion
- Easy recoveryMost patients wear a hard collar for three weeks after ACDF.
- Go home the same dayACDF can often be performed as an outpatient procedure, depending on your comorbidities.
- Small IncisionThe incision is typically an inch long and is usually hidden in a skin crease.
Frequently asked questions about minimally invasive anterior cervical discectomy and fusion
Minimally invasive (MIS) anterior cervical discectomy and fusion is a surgical procedure that involves removing a damaged disc from the front of the neck and fusing the adjacent vertebrae together. Here’s how it is typically performed:
A small incision is made in the front of the neck, and the disc is removed and replaced with a spacer to stimulate the vertebral fusion. The arthritis and disc pinching on the nerve and/or spinal cord are removed.
This approach avoids cutting muscle and leads to a faster recovery than traditional posterior fusions. Often, the pain relief from nerve pain is immediate after the surgery.

We specialize in minimally invasive techniques to minimize injury to soft tissues and reduce your pain.
MIS anterior cervical discectomy and fusion is used to treat conditions like herniated discs, spinal stenosis, and degenerative disc disease in the cervical (neck) region.

However, it only becomes an option if the condition has not responded to non-surgical treatments, such as physical therapy, medication, or injections.
This procedure is often considered when the damaged disc is causing significant nerve compression, leading to symptoms such as:
- Neck pain
- Arm pain
- Numbness or tingling in the arms or hands
- Weakness in the arms or hands
- Difficulty with fine motor skills
Your doctor will evaluate your medical history, symptoms, and imaging studies to determine if you are a suitable candidate for this procedure. Generally, good candidates for this procedure include individuals who:
- Have severe neck pain or arm pain that has not improved with conservative treatments.
- Have clear evidence of nerve compression in imaging studies.
- Are in good overall health and can tolerate surgery.
The length of MIS anterior cervical discectomy and fusion can vary depending on the severity of the disc disease and any other factors. However, most procedures take between one and two hours.
It is normal to experience some pain and discomfort after an anterior cervical discectomy and fusion. Your surgeon will prescribe pain medication to help manage your symptoms. You may also be instructed to wear a neck brace for some time to support your neck while it heals.
Recovery from this procedure typically takes several weeks. Most patients can return to light activities within a few weeks, but it may take several months to fully recover and resume normal activities. Your surgeon will provide you with specific instructions on what to do and how to care for yourself during your recovery:
- Rest and gradual activity: Avoid strenuous activities and excessive neck movement for the first few weeks. Gradually increase your activity level as your surgeon permits. Start with gentle neck exercises and walking.
- Pain management: Take prescribed pain medications as directed. Your doctor will also recommend ice and heat therapy for the first few days of your recovery.
- Wound care: Keep the incision clean and dry. Follow your surgeon’s instructions for dressing changes.
- Avoid heavy lifting: Refrain from lifting heavy objects for several weeks.
- Sleep position: Sleep on your back or side with a pillow under your head to support your neck.
- Physical therapy: Participate in physical therapy to strengthen your neck muscles and improve your range of motion.
- Follow-up appointments: Attend all scheduled follow-up appointments with your surgeon.
Healthy lifestyle: Eat a balanced diet, stay hydrated, and get enough sleep to support overall health.
MIS anterior cervical discectomy and fusion is a surgical procedure that has been widely used to treat cervical disc disease. This procedure is often effective for addressing pain, numbness, and weakness.
Many patients experience significant relief from neck and arm pain after ACDF. Removing the damaged disc can alleviate pressure on the spinal nerves, reducing pain and discomfort.

Furthermore, this procedure can improve overall function and quality of life for individuals suffering from cervical disc disease. Patients may be able to return to their normal activities and enjoy a more active lifestyle.
However, it’s important to remember that several factors can influence the success and effectiveness of this procedure. These include the severity of the disease, the patient’s overall health, adherence to post-operative guidelines, and more.
Patient Report
Here’s what one of our patients has to say about their minimally invasive cervical disc replacement treatment:
“Dr. Saville did an L4-5 minimally invasive fusion of my spine last week and I must tell everyone that he is a great, kind and amazing surgeon. He checked on me several times after the surgery as well as called me when i went home from the hospital. I was suffering from pain and numbness of my lower back, legs and feet progressively getting worse over the last 4 years and when i met with him a few weeks ago I knew he was the one that could help me.I underwent surgery 9 days ago and from day one i have been feeling better and better with little pain which is amazing!!! and my numbness, tingling and pain has almost resolved at this point. I can honestly recommend him highly to anyone without any concerns. ”
Dinorah R
Dr. Saville not only did a great job with my 2-level cervical disc replacement surgery, he was one of the only surgeons to recommend a newer, less invasive, and more promising disc replacement surgery compared to a much more mobility limiting fusion surgery for my neck condition. Dr Saville is up on the most innovative procedures which is incredibly important for a surgeon with how quickly medicine is advancing. Amazingly my surgery was able to be done as an outpatient surgical procedure, which recovering at home beats spending nights in a hospital room for just about anyone. Dr. Saville’s impressive spine surgery fellowship at the top orthopedic hospital in the country, HSS in New York, should also be noted. If you want a top surgeon with the best schooling, mind and abilities you’ll want to make an appointment with Dr. Saville.
Michael S
“I wish I didn't take so long to make up my mind on surgery, I could have been out of pain a lot sooner. I had fusion spinal surgery on L4-5, three weeks ago by Dr. Saville and let me tell you, I feel so much better. He did a wonderful job, he spent so much time explaining everything before and after surgery and has alot of patience with me. Now that he did his job well, now its time that I take the time to do my job during recovery so we can have the best outcome. I can't say enough good things about Dr. Saville and his office staff. His office staff is always kind, answers all my questions. Great staff. I usually don't write reviews, but felt I had to for Dr. Saville & his staff, so if your thinking about using them, like me and many others should give you good reason to give them the trust you are looking for.”
Joseph D
“My concierge primary physician, aware of the pain I am suffering from the eight hour surgery performed on my neck in March 2018, suggested I see Dr. Phillip Saville MD. Dr. Saville added Dr. Seth MacMahon MD to his treatment team and the results have been outstanding. Even the greeting staff is warm, understanding and helpful. I did not know of Florida Spine Associates over the past few years. If I did they would have spared me so much pain.”
Herbert Z
“Dr. Seville and the team provided top notch care for my herniated disk. The recommended surgery was an incredible success! It's been almost a month and I am pain free without any medication. Thank you to the doctor, office and surgical staff. I am so appreciative. If you're considering Dr. Sevillle for surgery don't wait!”
Stephen A
“I had a C-3/4 and C-6/7 injury. After doing my research and having an exam by Dr. Saville. I went forward with the operation. Even though this was my 4th operation ( other 3 due to Rugby injuries ) this one was big and I was honestly nervous about it. Dr. Saville and staff made me feel at ease. Had procedure done at Delray Surgical Suites. ( Great staff there too). Today makes it 40 days since my operation. I am glad I choose Dr. Saville. Do your homework it is the prudent thing to do. I did and Dr. Saville in my book should get 10 stars. I do not give out accolades on Google, Yelp , Health grades on a regular basis. But Dr. Saville deserves kudos from me. So if you are getting cervical surgery good luck and listen to Dr. Saville you are in good hands !”
Gary
“Wow! what a difference from April 27, 2021 I have had many procedures in the past regarding pain in my lower back. My wife found Florida Spine Asso. in an AD in a magazine. My previous spinal doctor one of the best in Broward county retired I was still in contact with him and asked him what he thought of dr. Sarville he said I was in great hands boy was he rights. I had the MAS TLIF operation April 27, 2021 before the operation I could not walk over 100 feet and hands would be num in the morning. i always had very bad pain enough to take my breath away. It has been 9 weeks since my operation there was a lot of pain in the beginning but it was worth every bit of pain. I now can walk at least a mile no more pain no numbness. I am a new man at 78 years old I am looking forward to playing with my grandkids once more. Thanks to Dr Phillip Saville God Bless you doctor.”
Ronald P
“I want to say how thankful I am that I had great surgeon like Dr. Saville. Back surgery can be scary. He was very honest with me since the beginning. I am happy to say it has been a successful surgery as I am now almost 6 weeks post op and I have had zero pain since I woke up after surgery besides the incision pain which is normal. To say that Dr. Saville is a lifesaver is an understatement. Thank you so much for caring and being a great surgeon!”
Nichole L
“After being told for years that I had too many cervical disks needing repair to even consider surgery, we found Dr. Seville. The surgery was successful and five weeks post surgery, I am feeling great. Aside from his excellent surgical skills, I was impressed with the openness and honesty in my appointments. Dr Seville made me feel as though I were a partner in decisions that were made.”
Joan M
“I chose Dr. Saville from a search online based on many prior reviews. From my first appointment and meeting with him, I knew I had chosen the right Surgeon and Doctor to help me. He already had the answers to my questions from the minute I sat down with him in the office. He was attentive, direct, and to the point when addressing my concerns. I am not a trusting person when it comes to my doctors and my health based upon experiences with my mom and her past doctors but I can honestly say I would place and entrust my life into his hands. He is amazing, polite, welcoming, everything a doctor or surgeon should be. He is the only surgeon I would use in the future if I needed to do so again. I highly recommend Dr. Saville. Words cannot express my gratitude for his help.”
Albert B
“It is my pleasure to share my experience with Dr. Saville. From my first visit, I was reassured by the doctor’s patience, compassion and understanding of my back issues, and of the time he took to explain the course of treatment in great detail. He and his staff provided excellent care before, during and after my surgery. I enthusiastically recommend Dr. Saville and his team, with confidence, to anyone experiencing back issues.”
Avi H
“Dr. Saville is the perfect surgeon for me. His youth, enthusiasm, knowledge, professionalism, and skill helped me get through a surgery I was not looking forward to. He led me through all the steps, both pre and post surgery so I knew what to expect. Feeling great 2 weeks post surgery and will always be thankful to Dr. Saville, and his staff.”
Len P
“First, huge thank you to Alyssa who helped me maneuver through my first telemedicine visit with Dr Savile through my follow up visit in your office. Thank you for your caring and professional manner and putting me at ease immediately. Dr Saville is terrific. He was thorough, kind and answered all my questions. I am so pleased with my care.
Second, my visit today with Dr Auerbach was just as amazing. He is so kind and gentle. He took his time offered me solutions. He was the ultimate professional. The procedure he performed was impeccable. I felt so comfortable in his care. A huge thank you to Stephanie for her thoroughness and care during this visit and throughout my procedure. I am very impressed. Thank you so much.
Last but certainly not least, your office staff is so pleasant and sets the tone of the visit from beginning to end. Kudos to all of you !”
Carol H
“What an amazing experience. First time I met Dr. Saville I knew he was the doctor I needed to fix my Spine. After having Pain and Numbness for the most of 4 years it was time to do something as it was getting progressively worse. It has been 4 weeks since my surgery. The day after surgery I was feeling great and walking without pain and it only got better from there. Excellent experience, Excellent Surgent, Excellent Staff. Thank You.”
Charlie S
“I can’t say enough positive things about this office, Dr Norton and especially Dr Saville. Having chronic back issues for 30+ years, seeking solutions in other offices/therapies a friend recommended this office after my MRI revealed a serious problem. Dr Norton came up w a solution on my first visit, Dr Saville performed the procedure the next day and my pain is gone. Two weeks post-surgery I couldn’t be happier. I’ll update when I’m back (pun intended) playing tennis/golf of coarse working.”
Jeff T
“Dr. Saville performed cervical fusion on my partner in May 2019. He had a previous cervical fusion done in Miami at Jackson Hospital. I have to say that Dr. Saville exceeded all my expectations. He was professional and knowledgeable. When my partner first saw Dr. Saville he immediately knew what the problem was and what needed to be done. I really cannot find the right words to describe how great Dr. Saville is. If anyone has to have spinal surgery I definitely will tell them to see Dr. Saville!”
Beth F
“Dr. Saville performed a decompression surgery between L4-5 on my 93 year old mother on the 19th of June. One week later she was up walking, sometimes without use of a walker. Dr. Saville decided to do an "old fashioned surgery" in order to minimize her time under anesthesia, as that can be very dangerous to people at her age. This was the best thing for her and we are forever very grateful for his smart decision. Most doctors would just have done what they always does. Thank you Doctor Saville!”
Anders B
“Dr. Saville did an L4-5 minimally invasive fusion of my spine last week and I must tell everyone that he is a great, kind and amazing surgeon. He checked on me several times after the surgery as well as called me when i went home from the hospital. I was suffering from pain and numbness of my lower back, legs and feet progressively getting worse over the last 4 years and when i met with him a few weeks ago I knew he was the one that could help me.I underwent surgery 9 days ago and from day one i have been feeling better and better with little pain which is amazing!!! and my numbness, tingling and pain has almost resolved at this point. I can honestly recommend him highly to anyone without any concerns. ”
Dinorah R
Dr. Saville not only did a great job with my 2-level cervical disc replacement surgery, he was one of the only surgeons to recommend a newer, less invasive, and more promising disc replacement surgery compared to a much more mobility limiting fusion surgery for my neck condition. Dr Saville is up on the most innovative procedures which is incredibly important for a surgeon with how quickly medicine is advancing. Amazingly my surgery was able to be done as an outpatient surgical procedure, which recovering at home beats spending nights in a hospital room for just about anyone. Dr. Saville’s impressive spine surgery fellowship at the top orthopedic hospital in the country, HSS in New York, should also be noted. If you want a top surgeon with the best schooling, mind and abilities you’ll want to make an appointment with Dr. Saville.
Michael S
“I wish I didn't take so long to make up my mind on surgery, I could have been out of pain a lot sooner. I had fusion spinal surgery on L4-5, three weeks ago by Dr. Saville and let me tell you, I feel so much better. He did a wonderful job, he spent so much time explaining everything before and after surgery and has alot of patience with me. Now that he did his job well, now its time that I take the time to do my job during recovery so we can have the best outcome. I can't say enough good things about Dr. Saville and his office staff. His office staff is always kind, answers all my questions. Great staff. I usually don't write reviews, but felt I had to for Dr. Saville & his staff, so if your thinking about using them, like me and many others should give you good reason to give them the trust you are looking for.”
Joseph D
“My concierge primary physician, aware of the pain I am suffering from the eight hour surgery performed on my neck in March 2018, suggested I see Dr. Phillip Saville MD. Dr. Saville added Dr. Seth MacMahon MD to his treatment team and the results have been outstanding. Even the greeting staff is warm, understanding and helpful. I did not know of Florida Spine Associates over the past few years. If I did they would have spared me so much pain.”
Herbert Z
“Dr. Seville and the team provided top notch care for my herniated disk. The recommended surgery was an incredible success! It's been almost a month and I am pain free without any medication. Thank you to the doctor, office and surgical staff. I am so appreciative. If you're considering Dr. Sevillle for surgery don't wait!”
Stephen A
“I had a C-3/4 and C-6/7 injury. After doing my research and having an exam by Dr. Saville. I went forward with the operation. Even though this was my 4th operation ( other 3 due to Rugby injuries ) this one was big and I was honestly nervous about it. Dr. Saville and staff made me feel at ease. Had procedure done at Delray Surgical Suites. ( Great staff there too). Today makes it 40 days since my operation. I am glad I choose Dr. Saville. Do your homework it is the prudent thing to do. I did and Dr. Saville in my book should get 10 stars. I do not give out accolades on Google, Yelp , Health grades on a regular basis. But Dr. Saville deserves kudos from me. So if you are getting cervical surgery good luck and listen to Dr. Saville you are in good hands !”
Gary
“Wow! what a difference from April 27, 2021 I have had many procedures in the past regarding pain in my lower back. My wife found Florida Spine Asso. in an AD in a magazine. My previous spinal doctor one of the best in Broward county retired I was still in contact with him and asked him what he thought of dr. Sarville he said I was in great hands boy was he rights. I had the MAS TLIF operation April 27, 2021 before the operation I could not walk over 100 feet and hands would be num in the morning. i always had very bad pain enough to take my breath away. It has been 9 weeks since my operation there was a lot of pain in the beginning but it was worth every bit of pain. I now can walk at least a mile no more pain no numbness. I am a new man at 78 years old I am looking forward to playing with my grandkids once more. Thanks to Dr Phillip Saville God Bless you doctor.”
Ronald P
“I want to say how thankful I am that I had great surgeon like Dr. Saville. Back surgery can be scary. He was very honest with me since the beginning. I am happy to say it has been a successful surgery as I am now almost 6 weeks post op and I have had zero pain since I woke up after surgery besides the incision pain which is normal. To say that Dr. Saville is a lifesaver is an understatement. Thank you so much for caring and being a great surgeon!”
Nichole L
“After being told for years that I had too many cervical disks needing repair to even consider surgery, we found Dr. Seville. The surgery was successful and five weeks post surgery, I am feeling great. Aside from his excellent surgical skills, I was impressed with the openness and honesty in my appointments. Dr Seville made me feel as though I were a partner in decisions that were made.”
Joan M
“I chose Dr. Saville from a search online based on many prior reviews. From my first appointment and meeting with him, I knew I had chosen the right Surgeon and Doctor to help me. He already had the answers to my questions from the minute I sat down with him in the office. He was attentive, direct, and to the point when addressing my concerns. I am not a trusting person when it comes to my doctors and my health based upon experiences with my mom and her past doctors but I can honestly say I would place and entrust my life into his hands. He is amazing, polite, welcoming, everything a doctor or surgeon should be. He is the only surgeon I would use in the future if I needed to do so again. I highly recommend Dr. Saville. Words cannot express my gratitude for his help.”
Albert B
“It is my pleasure to share my experience with Dr. Saville. From my first visit, I was reassured by the doctor’s patience, compassion and understanding of my back issues, and of the time he took to explain the course of treatment in great detail. He and his staff provided excellent care before, during and after my surgery. I enthusiastically recommend Dr. Saville and his team, with confidence, to anyone experiencing back issues.”
Avi H
“Dr. Saville is the perfect surgeon for me. His youth, enthusiasm, knowledge, professionalism, and skill helped me get through a surgery I was not looking forward to. He led me through all the steps, both pre and post surgery so I knew what to expect. Feeling great 2 weeks post surgery and will always be thankful to Dr. Saville, and his staff.”
Len P
“First, huge thank you to Alyssa who helped me maneuver through my first telemedicine visit with Dr Savile through my follow up visit in your office. Thank you for your caring and professional manner and putting me at ease immediately. Dr Saville is terrific. He was thorough, kind and answered all my questions. I am so pleased with my care.
Second, my visit today with Dr Auerbach was just as amazing. He is so kind and gentle. He took his time offered me solutions. He was the ultimate professional. The procedure he performed was impeccable. I felt so comfortable in his care. A huge thank you to Stephanie for her thoroughness and care during this visit and throughout my procedure. I am very impressed. Thank you so much.
Last but certainly not least, your office staff is so pleasant and sets the tone of the visit from beginning to end. Kudos to all of you !”
Carol H
“What an amazing experience. First time I met Dr. Saville I knew he was the doctor I needed to fix my Spine. After having Pain and Numbness for the most of 4 years it was time to do something as it was getting progressively worse. It has been 4 weeks since my surgery. The day after surgery I was feeling great and walking without pain and it only got better from there. Excellent experience, Excellent Surgent, Excellent Staff. Thank You.”
Charlie S
“I can’t say enough positive things about this office, Dr Norton and especially Dr Saville. Having chronic back issues for 30+ years, seeking solutions in other offices/therapies a friend recommended this office after my MRI revealed a serious problem. Dr Norton came up w a solution on my first visit, Dr Saville performed the procedure the next day and my pain is gone. Two weeks post-surgery I couldn’t be happier. I’ll update when I’m back (pun intended) playing tennis/golf of coarse working.”
Jeff T
“Dr. Saville performed cervical fusion on my partner in May 2019. He had a previous cervical fusion done in Miami at Jackson Hospital. I have to say that Dr. Saville exceeded all my expectations. He was professional and knowledgeable. When my partner first saw Dr. Saville he immediately knew what the problem was and what needed to be done. I really cannot find the right words to describe how great Dr. Saville is. If anyone has to have spinal surgery I definitely will tell them to see Dr. Saville!”
Beth F
“Dr. Saville performed a decompression surgery between L4-5 on my 93 year old mother on the 19th of June. One week later she was up walking, sometimes without use of a walker. Dr. Saville decided to do an "old fashioned surgery" in order to minimize her time under anesthesia, as that can be very dangerous to people at her age. This was the best thing for her and we are forever very grateful for his smart decision. Most doctors would just have done what they always does. Thank you Doctor Saville!”
Anders B
“Dr. Saville did an L4-5 minimally invasive fusion of my spine last week and I must tell everyone that he is a great, kind and amazing surgeon. He checked on me several times after the surgery as well as called me when i went home from the hospital. I was suffering from pain and numbness of my lower back, legs and feet progressively getting worse over the last 4 years and when i met with him a few weeks ago I knew he was the one that could help me.I underwent surgery 9 days ago and from day one i have been feeling better and better with little pain which is amazing!!! and my numbness, tingling and pain has almost resolved at this point. I can honestly recommend him highly to anyone without any concerns. ”
Dinorah R
Entrust Your Spine Health to the Experts at Saville Spine Institute
Saville Spine Institute specializes in minimally invasive surgical techniques and motion-preserving orthopedic medicine. We are your gateway to cutting-edge surgical techniques, offering hope and relief for patients seeking a life without constant discomfort.
Our advanced procedures are designed to relieve pain, restore mobility, and help you get back to living pain-free. Some of the minimally invasive spine surgery and treatment services we provide include:
- Minimally invasive lumbar decompression
- Lumbar microdiscectomy
- Cervical disc replacement
- Lumbar disc arthroplasty
- Herniated disc surgery
- Concierge orthopedics
Take the first step towards a pain-free life by scheduling a consultation with the best spine surgeon in Florida at Saville Spine Institute.
The material contained on this site is for informational purposes only and DOES NOT CONSTITUTE THE PROVIDING OF MEDICAL ADVICE, and is not intended to be a substitute for independent professional medical judgment, advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare providers with any questions or concerns you may have regarding your health.
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