New Jersey Anterior Cervical Discectomy And Fusion

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Anterior Cervical Discectomy and Fusion in New Jersey

Anterior cervical discectomy and fusion (ACDF) is a commonly performed procedure for various cervical spine disorders, including disc herniations and degenerative disc conditions that place pressure on the spinal cord or nerve roots in the neck. By relieving compression and stabilizing the affected vertebrae, ACDF is designed to lessen symptoms such as neck pain, arm or shoulder discomfort, and tingling or numbness in the hands.

We invite you to call our Englewood location for more details about ACDF and to schedule a consultation tailored to your specific condition.

Understanding ACDF

“ACDF” stands for the four key components of the procedure:

Anterior (Front)

A small incision is made at the front of the neck, usually along a natural skin crease for minimal scarring.

Cervical (Neck)

The seven vertebrae in this region are labeled C1 through C7, and disc spaces are similarly identified (e.g., C3–C4).

Discectomy (Disc Removal)

Using specialized instruments and a surgical microscope, the damaged disc and any protruding fragments are removed to relieve pressure on the spinal cord and nerve roots.

Fusion (Joining)

A bone graft and, often, a small spacer or cage are placed in the empty disc space to restore height between vertebrae. A low-profile plate and screws secure the area while the body's natural healing process creates solid bone growth.

Why Might ACDF Be Recommended?

While not every neck problem requires surgery, ACDF can be a valuable option if non-surgical therapies fail or if neurological symptoms worsen. Compression of nerve roots and the spinal cord may manifest as persistent pain, numbness, or arm weakness. Indications for this procedure include:

Degenerative disc disease in the cervical region
Herniated discs causing arm, shoulder, or neck discomfort
Spinal instability or progressive neurological deficits

About Cervical Discectomy

ACDF is performed under general anesthesia, typically through a small incision on the left or right side of the neck. Dr. Stieber uses real-time X-ray guidance (fluoroscopy) to accurately locate the problem disc. After creating a corridor by gently moving tissues aside, the herniated or damaged disc material is carefully removed. Bone spurs are also addressed if they are pressing on nerves. By removing the problematic tissue and restoring the disc height, pressure on the spinal nerves and spinal cord is alleviated.

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Types of Bone Graft

Several grafting materials can be used to support the fusion:

Local Autograft: Recycled bone from the vertebra itself during surgery
Iliac Crest Autograft: A small amount of bone from the patient's pelvic area
Allograft: Donor bone from a regulated tissue bank
Bone Graft Substitutes: Synthetic materials available in various forms

After Surgery

Following the procedure, patients are taken to a recovery area where vital signs and comfort levels are closely monitored. Some individuals return home the same day, although an overnight hospital stay may be necessary in certain cases. Dr. Stieber provides detailed guidance on incision care, activity limitations, and when to resume normal routines. A cervical brace or collar may be prescribed for added support during initial healing. We encourage you to connect with our Englewood team if you have any questions about post-operative care or would like further information about rehabilitation and recovery.

If you are seeking advanced treatment for cervical spine issues, reach out today to schedule a comprehensive evaluation and learn whether ACDF is right for your situation.

Pre and post operative x-rays of a 49 year old female who was treated with an ACDF

Pre and post operative x-rays of a 49 year old female who was treated with an ACDF