Advertisement

Anterior Cervical Discectomy and Fusion

  • Frank Grochulla
Chapter

Abstract

Anterior cervical discectomy and fusion (ACDF) is a widely used technique and has become the gold standardfor the treatment of cervical radiculopathy. The surgical principles of the surgical treatment are the decompression of neurostructures, the restoration of the cervical lordosis, and the stabilization. The surgical outcome is mainly dependent on the decompression effect. Fusion rates are dependent on the number of levels treated. Actually, there is no evidence for the superiority of cage fusions compared to fusions with autologous bone graft from the iliac crest, except of iliac crest donor site pain. In the 1950s, the fi rst reports of anterior approaches to cervical disc pathology appeared. The two most common methods for ACDF were described by Robinson and Smith in 1955 [ 7 ] and by Cloward in 1958 [ 4 ]. Robinson and Smith did not decompress the neural structures and believed that osteophytes and herniated discs would be reabsorbed during immobilizing the segment.

Keywords

Bone Graft Recurrent Laryngeal Nerve Cervical Radiculopathy Cervical Lordosis Interbody Cage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Apfelbaum RI, Kriskovich MD, Haller JR (2000) On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgery. Spine 25:2906–2912PubMedCrossRefGoogle Scholar
  2. 2.
    Bertalanffy H, Eggert HR (1989) Complications of anterior cervical discectomy without fusion in 450 consecutive patients. Acta Neurochir (Wien) 99:41–50CrossRefGoogle Scholar
  3. 3.
    Beutler WJ, Sweeney CA, Conolly PJ (2001) Recurrent laryngeal nerve injury with anterior cervical spine surgery risk with laterally of surgical approach. Spine 26:1337–1342PubMedCrossRefGoogle Scholar
  4. 4.
    Cloward RB (1958) The anterior approach for removal of ruptured discs. J Neurosurg 15:602–614PubMedCrossRefGoogle Scholar
  5. 5.
    DePalma A, Rothmann R, Lewinnek G et al (1972) Anterior interbody fusion for severe cervical disc degeneration. Surg Gyecol Obstet 134:755–758Google Scholar
  6. 6.
    McCulloch JA, Young PH (eds) (1998) Essentials of spinal microsurgery. Raven Lippincott, PhiladelphiaGoogle Scholar
  7. 7.
    Robinson RA, Smith GW (1955) Anterolateral cervical disc removal and interbody fusion for cervical disc syndrome (abstract). Bull John Hopkins Hosp 96:223–224Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  1. 1.Department for Spinal SurgeryHospital for Orthopaedics, Trauma Surgery and Spinal Surgery, Euromed ClinicFürthGermany

Personalised recommendations