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Anterior cervical discectomy & fusion (ACDF)

Relieving nerve or spinal cord pressure from the front of the neck, then joining the treated levels.

Trusted resources

Diagram of an anterior cervical operation, with retractors exposing vertebral bodies and instruments removing a disc.

The disc-removal step of an anterior cervical operation, shown before placement of a fusion graft or implant.

Debivort · CC BY-SA 3.0 · View full size · Image credits

What the operation involves

The affected disc and other sources of pressure are removed through the front of the neck. A spacer and bone graft support the disc space; a plate or other fixation may be used while the bones heal together.

Recovery

Your team will give you a plan for activity, wound care, and any collar. Swallowing discomfort or a change in voice can occur. Report persistent or worsening symptoms; difficulty breathing or rapidly increasing neck swelling needs emergency care.

Risks to discuss

Risks include infection, bleeding, swallowing or voice problems, nerve or spinal cord injury, failure of fusion, implant problems, and further surgery. Your surgeon will explain the risks that matter for your operation.

Questions for your appointment

  • What is the main goal of this treatment for me?
  • Which symptoms are likely to improve, and which may remain?
  • What are the alternatives and the risks of waiting?
  • What help will I need at home, and when can I return to my usual activities?
Read the recovery guide →

Educational information to support your consultation. The options, risks, and recovery described here may differ from your individual plan. Contact your treating team about new or changing symptoms.