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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With regard to the postoperative pysphagia, a LEO approach lateral surgical dissection to the omohyoid muscle should be selected if the rehwb of surgery involves C3-C4.

Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article. Surg neurol ; If more than two levels are fused, you may notice limits in turning your head and looking up and down With the operation, rshab can remove these spurs.

The main functions of the cervical spine are to support the head and allow the motility of the head and the most important muscles in fehab region are 1 M. Walker; Reviewed by Jason M. Anterior Cervical Discectomy and Fusion. Anterior cervical discectomy and fusion.

Anterior cervical discectomy and fusion – Physiopedia

The two upper vertebrae have a unique shape. Discectomy literally means “cutting out ptotocol disc. Most studies conclude an improvement in neck pain, arm pain and range of motion.

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. When refering to evidence in academic writing, you should always try to reference the primary original source.

Retrieved from ” https: After the disc is removed, a bone graft is inserted to fuse reyab the bones above and below the disc space.


The surgeon reaches the damaged disc from the front anterior of the spine through the throat area. 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 Not a valid URL: Another reason for surgery are spurs that irritate a nerve root The incision is made in the front of the spine through the throat area.

In protcol cases Physiopedia articles are a secondary source and so should not be used as references. Three important components of the therapy are scapular stability, cervical stability, and functional activity.

The instrumentation and fusion work together, similar to reinforced concrete. Physiopedia is rehav a substitute for professional advice or expert medical services from a qualified healthcare provider. Therefore protocols are used. In the early follow-up the incidence of dysphagia was lower compared with that in the cage with plate and the symptom duration was much shorter Addf Editors – Stacy Callow.

When acvf 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 Contents Editors Categories Share Cite.

By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are exposed. It is better to choose a Zero-Profile implant in an anterior cervical discectomy and fusion. If only one level is fused, you may have similar or even better acdd of motion than before surgery. 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.

Depending on your particular symptoms, one disc single-level or more multi-level may be removed. Anterior cervical discectomy and fusion ACDF is one of the most common surgical procedures performed by neurological and spinal orthopedic surgeons. To prevent the vertebrae from collapsing and rubbing together, a spacer bone graft is inserted to fill the open disc space.


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.

The five remaining vertebrae have a bearing function.

Anterior cervical discectomy and fusion

If we compare to other treatments such as cervical arthroplasty, we can say that patients who received Mobi-C TDR 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.

Deviations from the protocol are dependent on prior level of function, general health of the patient, equipment available, patient goals, specific orders written on the prescription, and others. The content on or accessible through Physiopedia is for informational purposes only. The graft serves as a bridge between the two vertebrae to create a spinal fusion. Most common cause for this operation is a ruptured cervical intervertebral disk.

After the disc is removed, the space between the bony vertebrae is empty. The bone graft and vertebrae are fixed in place with metal plates and screws. The reoperation rate was significantly higher in the ACDF group at Anterior cervical discectomy and fusion associated complications. 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.