ACDF surgery to remove discs, bone grafts, cervical spine fixation
1. What is ACDF surgery?
After the disc is removed, there will be space between the vertebrae. Therefore, to shape the cervical spine and prevent the vertebrae from collapsing and rubbing against each other, bone grafting will be carried out to fill this hollow space.
Bone grafts often act as a bridge between 2 vertebrae, creating spinal fusion. After about 3 to 6 months, the 2 vertebrae will be able to join together, forming a solid piece of bone and thereby effectively shaping the cervical spine.
2. Classification of bone grafts in ACDF . surgery
Autograft: the bone will come from the patient himself. The surgeon will remove bone cells from the hip (iliac crest). This form of bone graft will have a high rate of success because it has the cells as well as proteins for bone growth. However, patients may experience hip pain after surgery. Allograft: is bone from the outside (from another body). This type of bone will be taken from people who agree to donate organs after their death. The biggest disadvantage of this type of bone graft is that there are no cells or proteins left for bone growth. However, it still has certain effects in shaping the cervical spine. Artificial bone: Doctors can use synthetic resin or biosorbable compounds to form bone grafting materials for patients. After performing a bone graft, the patient may initially feel some discomfort in movement, and the naturalness of movement will depend on the adaptability of the graft.
3. In which cases is ACDF surgery indicated?
Patients with disc herniation above 3 floors. Pre-existing neck infection. The condition of the multi-level cervical spinal canal is narrow.
4. What preparation is required before performing ACDF surgery?
All non-steroidal anti-inflammatory drugs such as Nuprin, Aleve, Naprosyn... Blood thinners . In addition, the pre-surgery lifestyle also needs to be adjusted: Do not smoke and drink alcohol 1 week before surgery. Do not eat or drink anything in the middle of the night before surgery. In particular, on the morning of ACDF surgery, patients need to:
Take a bath with Betadin or antibacterial soaps, wear thin, clean clothes. Leave all valuables and jewelry at home. Bring a list of the medications you are taking with the dosages. Bring a list of medications/food allergies.
5. Post-surgery maintenance treatments
6. Some Complications Can Happen After ACDF Surgery
Injury to the jugular vein, artery Due to not performing the correct dissection according to anatomical layers. The patient required carotid artery sutures and anticoagulation after surgery.
Damage to the recurrent nerve The most obvious manifestation of this complication is a hoarse voice, difficult to pronounce.
Tracheal Injury Similar to esophageal damage, tracheal damage after ACDF surgery is also caused by the doctor's rough pulling. To overcome, the patient needs to suture the tracheal perforation area and prolong intubation.
Overall, ACDF surgery is very effective in treating many diseases of the cervical spine. To ensure a successful surgery, the patient needs to strictly follow the instructions from the doctor.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space.
If you have a need for consultation and examination at the Hospitals of the National Health System, please book an appointment on the website for service.
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