Dr Sandeep Vaishya

DR. SANDEEP VAISHYA

  • MBBS, MS, MCH (Neurosurgery)
  • Fellowship Sundt & Mayo Clinic, USA
  • HOD & Executive Director - Department of Neurosurgery FMRI
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DR SANDEEP VAISHYA

MBBS, MS, MCH (Neurosurgery)
Fellowship Sundt & Mayo Clinic, USA
HOD & Executive Director 

Department of Neurosurgery FMRI

Anterior cervical discectomy and fusion (ACD/ACDF)

ACDF Surgery for Neck Pain

Anterior cervical discectomy and fusion (ACD/ACDF)

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    Frequently Asked Questions :

    1. How long does recovery take after Anterior Cervical Discectomy and Fusion (ACD/ACDF)?

    Recovery typically takes 4-6 weeks for initial healing, with full recovery and return to normal activities taking around 3-6 months, depending on the individual’s condition and adherence to physical therapy.

     Yes, ACD/ACDF is generally a safe procedure, with a high success rate in relieving pain and improving quality of life. However, like any surgery, it carries some risks such as infection, bleeding, or nerve damage.

    It is advised to avoid long-distance travel for at least 2-4 weeks after surgery to allow your body to heal. Always consult your surgeon before planning travel.

    ACDF Surgery for Neck Pain

    About Anterior Cervical Discectomy and Fusion (ACD/ACDF)

    Anterior Cervical Discectomy and Fusion (ACD/ACDF) is a surgical procedure used to treat neck pain and associated symptoms caused by damaged or degenerated discs in the cervical spine (neck region). During the procedure, the surgeon removes the damaged disc and then fuses the adjacent vertebrae together to restore stability and alleviate pain. This surgery is commonly performed to address issues like herniated discs, spinal stenosis, and degenerative disc disease.

    Causes of Anterior Cervical Discectomy and Fusion (ACD/ACDF)

    The primary causes of conditions requiring ACD/ACDF include:

    • Herniated Discs: When the inner gel-like substance of a disc bulges out, it can press on nearby nerves, causing pain, numbness, or weakness.
    • Degenerative Disc Disease: Age-related wear and tear can cause discs to lose height and elasticity, leading to pain and stiffness.
    • Spinal Stenosis: Narrowing of the spinal canal can compress the spinal cord and nerves.
    • Trauma or Injury: Fractures or other spinal injuries may necessitate fusion for stability.

    Types of Anterior Cervical Discectomy and Fusion (ACD/ACDF)

    There are several variations of the procedure depending on the number of discs involved and the surgical approach:

    • Single-Level ACDF: Removal of one disc and fusion of two adjacent vertebrae.
    • Multi-Level ACDF: Removal and fusion of two or more discs.

    Cervical Artificial Disc Replacement (ADR): In some cases, an artificial disc may be used instead of fusion to maintain motion at the operated level.

    Symptoms of Anterior Cervical Discectomy and Fusion (ACD/ACDF)

    Common symptoms that may indicate the need for ACD/ACDF include:

    • Chronic neck pain or stiffness
    • Numbness, tingling, or weakness in the arms, hands, or fingers
    • Loss of balance or coordination
    • Radiating pain down the arm (due to nerve compression)
    • Difficulty with fine motor skills or gripping

    Diagnosis of Anterior Cervical Discectomy and Fusion (ACD/ACDF)

    To diagnose conditions requiring ACD/ACDF, your doctor will perform a detailed physical exam and may order diagnostic tests such as:

    • MRI: To view soft tissue damage like herniated discs or nerve compression.
    • CT Scan: For detailed imaging of the bones and spine.
    • X-Rays: To check for alignment issues or degenerative changes in the cervical spine.
    • Electromyography (EMG): To assess nerve function and identify areas of compression.

    Treatment of Anterior Cervical Discectomy and Fusion (ACD/ACDF)

    Non-surgical treatments like physical therapy, medications, and injections are often tried first. However, if these methods don’t relieve symptoms, ACD/ACDF surgery may be recommended. The procedure involves:

    • Discectomy: Removal of the damaged disc.
    • Fusion: The adjacent vertebrae are fused together using bone grafts or artificial materials, often with the help of plates, screws, or rods for stability.

    Recovery: Post-surgery, physical therapy and rest are important for recovery.

    Cost of Anterior Cervical Discectomy and Fusion (ACD/ACDF)

    The cost of ACD/ACDF surgery in India is significantly more affordable compared to many Western countries, with prices typically ranging from ₹1.5 lakh to ₹4 lakh (approximately $2,000 to $5,000 USD) depending on the complexity of the case, hospital choice, and surgeon’s fees. This includes pre-surgical consultations, hospitalization, and post-surgery care.

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