What is Anterior Cervical Discectomy and Fusion (ACDF)?

Who is an ideal candidate for this treatment?

Candidates usually experience persistent neck pain together with significant arm pain, sometimes lasting 6 weeks or longer. There is usually numbness, tingling, or weakness in the hands or arms. This treatment becomes an option only after conservative treatments, such as physical therapy, injections, and medications, have failed. Also, an MRI/CT scan shows a clear disc herniation or bone spur, where an MRI has confirmed nerve or spinal cord compression. If your neurological symptoms worsen and are associated with physical signs, you may need further evaluation.

Is neck pain or numbness in your arm preventing you from living comfortably?

Call (817) 926-(BONE) 2663 to book your appointment now.

Do I need help? Possible Signs

  • Sharp pains shooting down from the neck into your shoulder or arm.
  • Hand weakness leads to increased difficulty in lifting items, clumsiness, and dropping items.
  • Greater difficulty with fine motor skills.
  • Persistent or worsening numbness with feelings of “pins and needles” in your fingers.
  • Loss of balance

Disclaimer
*If symptoms are worsening, an evaluation should be more immediate.

What to expect before surgery?

  • Compassionate Care
  • Thorough Examination & Personalized Treatment Plan
  • Patient’s Goals Discussed & Straight Answers to Difficult Questions
  • Support You Can Count On
Non-Surgical options
  1. Behavior or activity modification
  2. Physical therapy
  3. Medication: Anti-inflammatories, oral steroids, muscle relaxants, or nerve pain modulators
  4. Steroid injections

Disclaimer
*Whenever appropriate, Lone Star Orthopaedic and Spine will always explore conservative, non-surgical treatments as first options to relieve pain and improve function before considering surgical intervention.

Definition of Treatment: What is it? What takes place?

The procedure begins with a small incision in the front of the neck to remove the damaged disc, relieving the pressure of nerve or spinal cord compression. Then the surgeon places a bone graft or spacer and stabilizes the vertebrae with a plate and screws. Eventually, the bones fuse. This procedure traditionally relieves the above-mentioned symptoms of neck and arm pain, and associated numbness, tingling, or weakness, traditionally caused by the following:

  • Herniated cervical disc
  • Cervical spinal stenosis
  • Degenerative disc disease
  • Cervical radiculopathy
  • Cervical myelopathy

FAQs

Mobility

After surgery, it is common to experience initial stiffness. The surgeon may prescribe either a soft or a hard collar for support. Patients often begin walking the same or the next day. Additionally, patients recovering from surgery may face temporary restrictions on driving. Most individuals can resume light activities within 2-3 weeks, as they regain their functional mobility.

Risk of Recurrence

The risk of recurrence on the treated level is low because the physician has permanently fused the bones. However, stress around nearby levels may occur over time.

Cosmetic Consideration

Che small 1–2-inch incision follows the natural skin creases of the neck, typically fading over time, and is minimally visible once fully healed.

Recovery Timeline

In 1–2 weeks, expect mild to moderate soreness; focus on rest, light walking, and desk work. In 3-6 weeks, a gradual return to daily activities and physical therapy may begin. In 7-12 weeks, a return to most daily activities as bone fusion begins to solidify. Within 3 to 12 months, bone fusion occurs, and the physician confirms this through an X-ray.

Considerations/Risks

Typical
  • Hoarseness lasts 3-5 days after surgery.
  • Mild difficulty in swallowing for 1-2 weeks….
  • Adjacent Segment Degeneration – Over time, the levels above or below the fusion may experience increased stress and wear.
Atypical
  • Bleeding or Hematoma – Urgent treatment required.
  • Infection
  • Nerve Injury resulting in persistent weakness/numbness.

Post Surgery Care & Restrictions

Typically, keeping the incision site dry for the first few days, following cervical collar instructions, and medical guidance if prescribed. Additionally, temporarily avoid heavy lifting (more than 10–15 pounds) and high-impact activities, and attend and follow instructions given in follow-up appointments.

Disclaimer

*This information is for general educational purposes only. It does not replace the personalized medical advice, diagnosis, or prognosis of a licensed physician.

Why Choose Lone Star?

  •  Board-Certified Spine Specialists with Exceptional Expertise
  • Advanced Surgical Techniques and Technology
  • Reputation for Patient-Centered Care and Results
  • Collaborative Care Team Approach

Book Your Appointment Today

At Lone Star Orthopedic and Spine Specialists, our medical team dedicates itself to restoring you to an active lifestyle by eliminating the debilitating neck and arm pain that is holding you back from the daily activities with the people you love. Imagine waking up without radiating arm pain, but with steady hands, restored strength, and mobility. Call (817) 926-BONE (2663) to start your journey today.