ACDF — Anterior Cervical Discectomy and Fusion

A Smaller Operation Than Most Expect.

Dr. Hirsch reaches the spine through a short incision at the front of the neck, often placed in a natural skin crease where it heals to a fine line. Its length depends on how many levels are treated.

The muscles that move your neck are not cut. Dr. Hirsch works through a natural plane between them, moving them gently aside to reach the spine. Much of the quick recovery from an anterior approach comes from leaving those muscles intact.

What ACDF Treats.

ACDF treats compression of the cervical nerves or spinal cord that has not improved with conservative care. A herniated disc or bone spur can press on a nerve root and cause arm pain, numbness, or weakness. Narrowing around the spinal cord can affect balance, hand coordination, and walking. Removing the disc relieves that pressure directly. Dr. Hirsch reviews your imaging and symptoms to confirm the disc is the source before recommending surgery.

How the Procedure Works.

The damaged disc is removed through the front of the neck, relieving pressure on the nerve or spinal cord. A spacer is placed where the disc was to restore height and hold the vertebrae in position. In most cases a small plate and screws support the segment while it heals. Over the following months the two vertebrae fuse into a single, stable unit. The procedure treats one or more levels, depending on where the compression is.

ACDF or Disc Replacement.

Fusion is not the only way to treat a cervical disc. Cervical disc replacement removes the same disc and places an artificial disc that keeps the level moving. Each approach suits some patients and not others, depending on the disc, the surrounding anatomy, and your goals. Dr. Hirsch reviews your imaging and explains which one fits your case.

What to Expect.

ACDF is often performed as an outpatient procedure, and many patients go home the same day. Most return to light activity within a week or two. Some notice a sore throat or mild difficulty swallowing in the first days, which usually settles on its own. Dr. Hirsch reviews activity, any bracing, and the fusion timeline with you before surgery.