Anterior Cervical Discectomy and Fusion(ACDF)


What is ACDF Surgery?

Anterior Cervical Discectomy and Fusion (ACDF) is a surgical treatment for conditions that affect the cervical spine (neck region). During the procedure, the damaged disc that is pressing on the spinal cord or nerves is removed through a small incision in the front of the neck. A bone graft or implant is then placed to restore disc height, and the vertebrae are fused together for stability.


Conditions Treated by ACDF

Your spine surgeon may recommend ACDF surgery if you suffer from:

  • Cervical disc herniation
  • Degenerative disc disease in the cervical spine
  • Cervical radiculopathy (pinched nerve in the neck)
  • Spinal cord compression causing difficulty walking or loss of balance

Benefits of ACDF Surgery

  • Relief from persistent neck pain and arm pain
  • Reduction in numbness, tingling, or weakness caused by nerve compression
  • Stabilization of the cervical spine after disc herniation treatment
  • Improved mobility, function, and quality of life
  • Prevention of further spinal cord or nerve damage

How is ACDF Performed?

  1. A small incision is made at the front (anterior) of the neck.
  2. The damaged cervical disc is removed.
  3. A bone graft or cage implant is inserted to maintain disc space.
  4. Metal plates and screws may be used to hold the vertebrae together until fusion occurs.

This technique allows the surgeon to access the cervical spine safely and effectively, ensuring better outcomes.


Recovery After ACDF Surgery

  • Hospital stay is usually 1–2 days.
  • Most patients return to light daily activities within 4–6 weeks.
  • A neck collar may be prescribed temporarily for support.
  • Physical therapy is often recommended to strengthen neck muscles and improve flexibility.
  • Complete bone fusion may take 3–6 months depending on healing.

Risks of ACDF Surgery

While ACDF surgery is safe and highly successful, potential risks include:

  • Infection
  • Temporary swallowing difficulties or hoarseness
  • Failure of bone fusion (non-union)
  • Adjacent segment degeneration in the future

An experienced orthopaedic spine surgeon will carefully assess your case and minimize these risks.


Frequently Asked Questions (FAQs)

Q1. How successful is ACDF surgery?
ACDF has a success rate of 85–95%. Most patients experience long-term pain relief and improved function.

Q2. How long does recovery take after ACDF surgery?
Light activities can usually be resumed within 4–6 weeks. Full fusion and complete recovery may take up to 6 months.

Q3. Will I lose neck movement after ACDF?
There may be a slight reduction in neck mobility, but most patients do not notice major restrictions in daily life.

Q4. Is ACDF the only option for cervical disc herniation treatment?
Not always. Non-surgical options such as medications, physiotherapy, and injections are tried first. Surgery is recommended if symptoms persist or worsen.


Why Choose Us ?

As an experienced orthopaedic spine surgeon in Kandivali, we specialize in minimally invasive procedures, to help patients return to a pain-free and active lifestyle. Every treatment is tailored to your unique condition, ensuring the safest and most effective outcome.


Ready to take the next step?
If you are struggling with neck pain, arm pain, cervical disc herniation, or cervical radiculopathy, Book your consultation with us today.

Early evaluation and treatment can help prevent complications and restore your quality of life.