Anterior Cervical Discectomy with Fusion (ACDF) for Cervical Spinal Stenosis
If a number of discs in the cervical spine are degenerative then the surgeon is much more likely to excise these problem discs and perform a fusion procedure to restore spinal stability. The use of artificial discs is increasing, and these have the advantage of maintaining the relative flexibility of the neck and reducing the risk of adjacent segment syndrome. For patients with evidence of stenosis due to disc herniation and osteophyte growth the surgeon may need both an anterior and posterior approach in order to reach all of the material causing both nerve and spinal cord compression. An anterior cervical discectomy may be followed by a foraminotomy, for instance, where bone spurs in the posterior portion of the spine are removed to decompress the nerves. Fusion from the front of the spine is usually indicated in order to maintain the natural lordotic curve of the cervical spine.
Alternative Treatment Options for Cervical Spinal Stenosis –> Spinal Fusion