Orthopaedic Protocols. Post-Surgical Rehabilitation Protocol: Cervical Laminectomy, Discetomy, Fusion. I. Post Op Days A. Precautions. Post operative Spine Rehab-Cervical Fusion. Treatment Avoid flexion with posterior cervical fusion Upper extremity extension isometric exercises. 3. Anterior cervical discectomy and fusion (ACDF) is one of the most common MD , rehabilitation department, Cervical Fusion Protocol (level of evidence: 5) [17].

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Anterior cervical discectomy and fusion – Physiopedia

If we compare to other treatments such as cervical arthroplasty, we can say that patients who received Mobi-C TDR device for treatment of 2-level symptomatic degenerative disc disease experienced significantly greater improvement than ACDF patients in NDI score at every time point and significantly greater improvement in VAS neck pain score at 6 weeks, and at 3,6n and 12 months postoperatively.

Retrieved from ” https: Physiopedia articles are best used to find the acxf sources of information see the references list at the bottom of the article. With the operation, specialists can remove these spurs. Anterior cervical discectomy and fusion. In most cases Physiopedia articles are a secondary source and so should not be used as references. If only one level is fused, you may have similar or even better reha of motion than before surgery.

When refering to evidence in academic writing, you should always try to reference the primary original source. After the disc is removed, a bone graft is inserted to fuse together the bones above and below the disc space. The two upper vertebrae have a unique shape.

Walker; Reviewed by Jason M. Surg neurol ; Most studies conclude an improvement in neck pain, arm pain and range of motion. The reoperation rate was significantly higher in the ACDF xcdf at Deviations from the protocol are dependent on prior level of function, general health of the patient, equipment available, patient goals, specific orders written on the prescription, and others.


The instrumentation and fusion work together, similar to reinforced concrete. If more than two levels reuab fused, you may notice limits in turning your head and looking up and down Most common cause for this operation is a ruptured cervical intervertebral disk.

If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. The five remaining vertebrae have a bearing function.

Anterior cervical discectomy and fusion

The main functions of the cervical spine are to support the head and allow the motility of the head and the most important muscles in this region are 1 M. The bone graft and vertebrae are fixed in place with metal plates and screws. In the early follow-up the incidence of dysphagia rehxb lower compared with that in the cage with plate and the symptom duration was much shorter By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are exposed.

It is better to choose a Zero-Profile implant in an anterior cervical discectomy and protocoo. After 3 to 6 months, the bone graft should join the two vertebrae and form one solid piece of bone. A comparison between a cervical disc arthroplasty with anterior cervical discectomy and fusion for the treatment of cervical spondylotic myelopathy works to the advantage the arthroplasty where there was a lower incidence of complications Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider.

Original Editors – Stacy Callow. Therefore protocols are used. Anterior Cervical Discectomy and Fusion. Another reason for surgery are spurs that irritate a nerve root With regard to the postoperative pysphagia, a LEO approach lateral surgical dissection to the omohyoid muscle should be selected if the level of surgery involves C3-C4.

To prevent the vertebrae from collapsing and rubbing together, a spacer bone graft is inserted to fill the open disc space. Toggle navigation p Physiopedia. Contents Editors Categories Share Cite. Discectomy literally means “cutting out the disc.

After fusion, you may notice some range of motion loss, but this varies according to neck mobility before surgery and the number of levels fused.


Anterior cervical discectomy and fusion ACDF is one of the most common surgical procedures performed by neurological and spinal orthopedic surgeons. Following surgery the body begins its natural healing process and new bone cells grow around the graft.

Three important components of the therapy are scapular stability, cervical stability, and functional activity. Anterior cervical discectomy and fusion associated complications. The content on or accessible through Physiopedia is for informational purposes only.

Surgery from the front of the neck is more accessible than from the back posterior because the disc can be reached without disturbing the spinal cord, spinal nerves, and the strong neck muscles.

Here reflect minimum clinically important differences MCID clinically meaningful improvements to patients6.

When we look to a surgical treatment for single-level cervical symptomatic degenerative disc disease, we can conclude that after 5 years, ProDisc-C patients had statistically significantly less neck pain intensity and frequency Not a valid URL: Treatment effectiveness following spine surgery is usually measured with the help of patient-reported outcome PRO questionnaires.

The incision is made in the front of the spine through the throat area. Cost-effectiveness of anterior cervical discectomy with or without interbody fusion and arthroplasty in the treatment of cervical disc herniation; a double-blind randomized multicenter study. That is usually the journal article where the information was first stated. It is important that the patient follow the limitations set forth from the physician during the first two weeks and then a gradual progression toward functional activities that do not place excessive stress to the cervical region.

The surgeon reaches the damaged disc from the front anterior of the spine through the throat area. The graft serves as a bridge between the two vertebrae to create a spinal fusion.