Orthopaedic Protocols. Post-Surgical Rehabilitation Protocol: Cervical Laminectomy, Discetomy, Fusion. I. Post Op Days A. Precautions. Post operative Spine Rehab-Cervical Fusion. Treatment Avoid flexion with posterior cervical fusion Upper extremity extension isometric exercises. 3. Anterior cervical discectomy and fusion (ACDF) is one of the most common MD , rehabilitation department, Cervical Fusion Protocol (level of evidence: 5) [17].

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A comparison between a cervical disc arthroplasty with anterior cervical discectomy and fusion for the treatment of cervical spondylotic myelopathy works to the advantage the arthroplasty where there was a lower incidence of complications Following surgery the body begins its natural healing process and new bone cells grow around the graft. Discectomy literally means “cutting out the disc. Anterior cervical discectomy and fusion ACDF is one of the most common surgical procedures performed by neurological and spinal orthopedic surgeons.

When refering to evidence in academic writing, you should always try to reference the primary original source. The incision is made in the front of the spine through the throat area.

Here reflect minimum clinically important differences MCID clinically meaningful improvements to patients6. Surg neurol ; The bone graft and vertebrae are fixed in place with metal plates and screws. That is usually the journal article where the information was first stated. Walker; Reviewed by Jason M. The instrumentation and fusion work together, similar to reinforced concrete.

The reoperation rate was significantly higher protocok the ACDF group at The five remaining vertebrae have a bearing function. The two upper vertebrae have a unique shape.

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Anterior cervical discectomy and fusion

When we look to a surgical treatment for single-level cervical symptomatic degenerative disc disease, we can conclude that after 5 years, ProDisc-C patients had statistically significantly less neck pain intensity and frequency Treatment effectiveness following spine protockl is usually measured with the help of patient-reported outcome PRO questionnaires.

With regard to the postoperative pysphagia, a LEO approach lateral surgical dissection to the omohyoid muscle should be selected if the level of surgery involves C3-C4. Toggle navigation p Physiopedia. Retrieved from ” https: Therefore protocols are used. Surgery from the front of the neck is more accessible than from the back posterior because the disc can be reached without disturbing the spinal cord, spinal nerves, and the strong neck muscles.

After 3 to 6 months, the bone graft should join the two vertebrae and form one solid piece of bone. The content on or accessible through Physiopedia is for informational purposes only. If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. It is important that the patient follow the limitations set forth from the physician during the first two weeks and then a gradual progression toward functional activities that do not place excessive stress to the cervical region.

It is better to choose a Zero-Profile implant in an anterior cervical erhab and fusion. If we compare to other treatments such as cervical arthroplasty, we can say that patients who received Mobi-C Rehan device for treatment of 2-level symptomatic degenerative disc disease experienced significantly greater improvement than ACDF patients in NDI score at every time point and significantly greater improvement in VAS neck pain score at 6 weeks, and at 3,6n and 12 months postoperatively.


Cost-effectiveness of anterior cervical discectomy with or without interbody fusion and arthroplasty in the treatment of cervical disc herniation; a double-blind randomized multicenter study. After the disc is removed, the space between the bony vertebrae is empty.

Deviations from the protocol are dependent on prior level of function, general health of the patient, equipment available, patient acdc, specific orders written on the prescription, and others. The surgeon reaches the damaged disc from the front anterior of the spine through the throat area. Depending on your particular symptoms, one disc single-level or more multi-level may be removed.

In most cases Physiopedia articles are a secondary source and so should not be used as references. Original Editors – Stacy Callow. The graft serves as a bridge between the two vertebrae to create a spinal fusion.

Contents Editors Categories Share Cite. Anterior cervical discectomy and fusion associated complications.

Anterior cervical discectomy and fusion – Physiopedia

With the operation, specialists can remove these spurs. Not a valid URL: Three important components of the therapy are scapular ptotocol, cervical stability, and functional activity. Anterior cervical discectomy and fusion. After fusion, you may notice some range of motion loss, but this varies according to neck mobility before surgery and the number of levels fused.

Most common cause for this operation is a ruptured cervical intervertebral disk.