ACDF Surgery
Anterior Cervical Discectomy and Fusion (ACDF) surgery treats a herniated or degenerated disc in the neck region through an anterior incision (front of the neck). ACDF surgery aims to relieve pressure on the spinal cord or nerve roots, which can cause permanent damage if left untreated. Dr Sherief Elsayed is one of the most experienced doctors for ACDF Surgery in Dubai.
What are the symptoms of a patient who needs ACDF surgery?
ACDF surgery is recommended for patients whose diagnostic tests show a herniated or degenerative disc in the cervical region and whose symptoms don’t improve with medication and physical therapy. Given below are some other symptoms of a patient who needs ACDF surgery:
- Loss of sensation in hands
- Arm and neck pain
- Pain in shoulder
- Difficulty using hands
- Difficulties with balance,
- Loss of bladder or bowel control
Diagnosis
After studying the patient’s general health and medical history, the following tests are performed for diagnostic purposes;
Physical examination of the neck
This involves inspecting the patient’s neck by the doctor for any abnormalities. In addition, various tests and observations are carried out to better understand the neck’s posture, range of motions, reflexes, muscle strength, and sensations felt in the legs and arms.
Imaging studies
Given below are some imaging tests that are done to narrow down the cause of neck pain;
X-ray: X-rays use electromagnetic waves to produce images of dense structures. They can reveal the vertebral openings and the general bony structure.
MRI (Magnetic Resonance Imaging)– These use magnetic fields to detect nerve root compression / to assess the health of the cervical discs and the spinal cord.
CT (Computerised Tomography) Scan: These scans generate more detailed pictures of the cervical spine to determine if you have developed bone spurs near the foramen.
Nerve conduction studies (NCS) / Electromyography (EMG): EMG measures the electrical impulses of the muscles at rest and during contractions. EMG studies are often performed along with nerve conduction studies to determine if the nerve is functioning properly.
How is ACDF surgery performed?
The step-by-step procedure for Anterior cervical Discectomy and fusion treatment in Dubai is as follows:
Step 1: Making the incision
After the patient is administered general anaesthesia, a small incision is made to reach the damaged disc from the front (anterior) of the spine through the throat area by moving the neck muscles, trachea, and oesophagus aside.
Step 2: Locating the damaged disc
Next, the surgeon inserts a thin needle into the spine to locate the impacted disc. After the disc is located, a retractor spreads the vertebrae above and below it.
Step 3: Removing the disc
In the third step, the surgeon makes an incision in the disc’s outer wall and removes it using small grasping tools.
Step 4: Decompressing nerves
If any bone spurs are pressing against the patient’s nerve root, they are removed. Afterwards, the surgeon opens the spinal canal to allow the nerves some extra space.
Step 5: Preparing a bone graft fusion
Next, an open disc space is prepared for fusion, and a spacer bone graft is inserted in the gap. The bone graft and vertebrae may be fixed in place with metal plates and screws to promote natural bone growth.
Step 6: Closing the incision
Finally, all tools are removed, and the muscle and skin incisions are closed.
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Why choose
Dr Sherief Elsayed for ACDF surgery in Dubai?
Dr Sherief Elsayed, a leading surgeon for ACDF surgery in Dubai, is one of the world’s best orthopaedic surgeons. He specialises in treating cervical spine problems through multiple minimally invasive approaches. His vast experience helps him treat patients with various injuries, from sports-related to traumatic injuries. Contact him today if you want an Anterior Cervical Discectomy and Fusion treatment in Dubai.
FAQ
ACDF stands for Anterior Cervical Discectomy and Fusion. During this procedure, your surgeon makes a small incision at the front of your neck to reach the damaged disc. The worn or herniated disc is removed to relieve pressure on nerves or the spinal cord. The empty space is then filled with a bone graft or cage, which allows the two vertebrae to fuse together over time. A small plate and screws often hold everything stable whilst healing occurs.
This depends on your surgeon’s preference and how stable your spine is after the operation. Some surgeons use a soft collar for comfort during the first week or two, whilst others don’t use one at all. Modern techniques with plates and screws usually provide enough stability without needing external support. If a collar is recommended, it’s mainly to remind you to move carefully whilst the fusion heals. Your surgical team will explain exactly what’s right for your situation.
Solid fusion typically takes between three to six months, though the process continues improving for up to a year. During the first few months, new bone gradually grows through the graft material, joining the vertebrae permanently. You’ll have X-rays at follow-up appointments to check how the fusion is progressing. Most people notice their symptoms improving much sooner than complete fusion, often within weeks. Following activity restrictions during this healing period gives you the best chance of successful fusion.
Your neck movement will be somewhat reduced, but most people adapt very well. The fused segment won’t move anymore, but the levels above and below usually compensate. If only one level is fused, many patients don’t notice much difference in daily activities like driving or looking around. Two-level fusions may cause slightly more stiffness. The relief from pain and other symptoms typically outweighs any reduction in flexibility. Your neck will feel stiff initially, but this improves as you heal.
Adjacent segment disease, where discs near the fusion wear out faster, develops in about 3% of people per year following surgery. This means roughly 25-30% might experience issues at neighbouring levels within ten years. However, not everyone with changes on scans needs further surgery. Many factors affect this risk, including your age, how many levels are fused, and your spine’s overall condition. Most people get lasting relief from their original operation without requiring additional procedures.