Procedure · Cervical spine
ACDF
Anterior cervical discectomy and fusion — a front-of-the-neck approach to remove a problematic disc, decompress nerves or the spinal cord, and stabilize the treated level.
What it is
ACDF approaches the cervical spine from the front of the neck. Through a small incision, Dr. Choi removes the problematic disc, decompresses the spinal cord or the exiting nerve roots, and places an implant in the disc space. A small plate typically supports the level while the vertebrae heal together in a fusion.
The anterior approach reaches the disc without pulling the spinal cord aside, which is one reason ACDF remains a standard operation for anterior cervical compression. One or more levels can be treated, depending on the pattern of disease.
When it may be considered
ACDF may be considered for selected cervical disc herniations, cervical stenosis, cervical radiculopathy, or spinal cord compression that has not responded to appropriate nonoperative care, or when neurologic findings make timely treatment important. The number of levels, alignment, bone quality, and the exact symptom pattern all shape the plan.
What to discuss at consultation
- Goals: relieve the pressure causing your arm or neck symptoms, stabilize the treated level, and preserve or restore alignment.
- Alternatives: continued nonoperative care, injections, a posterior approach such as laminectomy, or — for selected patients — cervical disc replacement.
- Recovery: a cervical collar is commonly worn for about six weeks while the fusion heals; restrictions on lifting and activity ease as healing progresses.
- Risks: swallowing or voice considerations specific to the anterior neck approach, fusion, and the individual risks of surgery — reviewed plainly before any decision.
Initial consultation or second opinion?
Bring your imaging and your questions. Dr. Choi will review your diagnosis, walk through your options, and tell you plainly whether surgery is the right next step — and if not, what is.