Anterior Cervical Discectomy and Fusion

  • Luis M. TumialánEmail author


A seismic shift occurred in the management of cervical radiculopathy and myelopathy with the introduction of an anterior approach to the cervical spine by Smith and Robinson and by Cloward. Since its inception, the anterior cervical discectomy and fusion (ACDF) has been perhaps the most dependable, reproducible, and effective operation in the spine surgeon’s armamentarium. Refinements to the procedure with cervical plating and interbody graft options have added to that reliability and efficacy. The ACDF has now evolved into a consistently high-quality and low-cost outpatient procedure. The goal of this chapter is to review the indications, contraindications, surgical techniques, and complication avoidance in patients with cervical radiculopathy and/or myelopathy being managed with an anterior approach to the cervical spine. Case presentations at the end of the chapter illustrate and reinforce various key points.


Cervical radiculopathy Cervical myelopathy Anterior approach Anterior cervical discectomy and fusion ACDF 



Dr. Tumialán is a consultant to Medtronic, plc. He is an investor in LessRay, which is owned by NuVasive.


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of NeurosurgeryBarrow Neurological Institute, St. Joseph’s Hospital and Medical CenterPhoenixUSA

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