Anterior Cervical Discectomy and Fusion

  • Frank Grochulla


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.


Bone Graft Recurrent Laryngeal Nerve Cervical Radiculopathy Cervical Lordosis Interbody Cage 
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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

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