Anterior Cervical Discectomy and Fusion

This operation is performed for a disc prolapse in the neck. The disc is removed almost completely to allow access to the neural canal. The operation is not generally performed from the back as the spinal cord is sensitive and cannot be moved to allow access. Because the disc is removed, the surgeon will normally place a bone graft or cage between the vertebrae to maintain their position.

Patient post ACDF of C5/6. The disc prosthesis is shown following removal of the disc. The patient has an excellent relief of severe arm pain due to a prolapsed disc.

Success rate: the majority of patients will experience considerable improvement if the main symptom was of severe arm pain. Persistent weakness or numbness improves much less predictably.

Risks: The main concern is of paralysis, which can be due to postoperative bleeding causing compression of the spinal cord. The complication can occur in approximately 0.5% of cases.

We specialise in assessment and diagnosis of spinal complaints with appropriate conservative treatment, planning surgery only when all other options have been exhausted.