ACDF - 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.

Minimally invasive (MIS) anterior cervical discectomy and fusion

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.

Minimally invasive (MIS) anterior cervical discectomy and fusion

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. 

Minimally invasive (MIS) anterior cervical discectomy and fusion

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:

“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