Anterior cervical discectomy and fusion (ACDF) is a surgical procedure for treating nerve roots or spinal cord compression by decompression of the spinal cord and nerve roots of the cervical spine with a discectomy to stabilize the corresponding vertebrae. This procedure is used when other non-surgical treatments fail.
Video Anterior cervical discectomy and fusion
Medical use
ACDF is used to treat the serious pain of inflamed nerve roots. This can be caused by:
1. a herniated disc when other non-surgical treatments have failed. The nucleus pulposus of the disc herniated protrudes out through the annulus (the surrounding wall) and presses on the adjacent neural roots.
2. degenerative disc disease (spondylosis). Disk consists of about 80% water. As a person grows older, the disc begins to dry and shrink, causing a small tear in the annulus and inflammation of the nerve roots.
Maps Anterior cervical discectomy and fusion
Contraindications
Bone morphogenetic protein (rhBMP) should not be used routinely in all types of anterior cervical spine fusion, such as with anterior cervical discectomy and fusion. There are reports of this therapy that cause soft tissue swelling which can in turn lead to life-threatening complications due to difficulty swallowing and pressure on the respiratory tract.
Technique
The neurosurgeon or orthopedic surgeon enters the space between two discs through a small incision in front (= anterior) and on the right or left side of the neck. The discs are completely removed, as well as spurs rheumatic bone. Disk material, pressing the spinal cord or spinal cord, then completely removed. The intervertebral foramen, the bone duct through which the spinal cord goes, then enlarged with a drill gives the nerve more room to exit the spinal canal.
To prevent the spine from collapsing and to improve stability, open spaces are often filled with graft. It can be a bone graft, taken from the pelvic bone or cadaver; or artificial implants. The slow process of bone graft joined the vertebrae together called "fusion". Sometimes titanium plates are screwed on the spine or screws used between vertebrae to improve stability during fusion, especially when there is more than one disc involved.
Recovery
Surgery requires a short stay in the clinic (1 to 3 days) and a gradual recovery of between 1 and 6 weeks. However, the technology has been advanced and can be performed by 'Endoscopy Micro Discectomy' with patients able to resume their normal life within two days.The patient may be advised to wear a neck or neck brace (up to 8 weeks) that serves to ensure proper spinal alignment. brace raises one's awareness of posture and position and helps prevent movement (eg, sudden and/or excessive bending or twisting) that can worsen or slow down the healing process. It is highly recommended to wear a neck protector while traveling (for example, by car ), sleeping, bathing, or other activities where the patient may not be able to ensure proper spinal alignment. In addition, physical therapy and related healing modalities (eg, massage, acupuncture) may be recommended to promote appropriate healing, as well as to strengthen muscles -the surrounding area can take over 'duty' l neck clamp to ensure proper spinal alignment when the patient's Tart (about 4 to 6 weeks after surgery) to wean the neck brace.
References
- Anterior Cervical Discectomy
- Advanced explanation
External links
- Washington University Department of Orthopedics & amp; Sports Medicine
Source of the article : Wikipedia
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