Patient handout · Spine surgery
ACDF (Anterior Cervical Discectomy and Fusion)
What it is
ACDF is a neck surgery done from the front of the neck. The surgeon removes a damaged disc and then joins the two bones. It may ease pressure on the nerves or spinal cord.
This surgery may be done at GSMC’s surgery center or in a hospital. Your surgeon will explain where. Call 732-202-3000 to learn which surgeon performs it.
Why it is done
- Arm pain, numbness or weakness from a pinched nerve that has not improved
- Signs of spinal cord compression
- One or more levels of disc herniation or spondylosis on MRI
What to expect
- Before: You meet with your surgeon and may need imaging, blood tests and a health check. You will get instructions about eating, drinking and medicines, including blood thinners. Plan for a ride home.
- During: You get general anesthesia and lie on your back. Through a small cut on the front of the neck, the surgeon removes the disc. A spacer and often a small plate hold the bones while they heal.
- After: Many people go home the same day or the next day. A sore throat and trouble swallowing for a short time are common. Avoid heavy lifting for several weeks.
Self-care tips
- Walk a little several times a day.
- Follow your limits on lifting, bending and twisting.
- Keep the cut clean and dry. Follow your wound care instructions.
- Take pain medicine only as directed. Do not smoke; it can slow healing.
When to call us
- Fever over 101°F or chills
- Redness, swelling or fluid draining from the cut
- Pain, swelling or redness in your calf
- New or worse numbness or weakness
Call 911 for chest pain, trouble breathing, or loss of bladder or bowel control.
This handout is general information and is not a substitute for medical advice.