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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Anterior cervical discectomy and fusion – Physiopedia

The bone graft and vertebrae are fixed in place with metal plates and screws. Walker; Reviewed by Jason M. The instrumentation and fusion work together, similar to reinforced concrete. Not a valid URL: The reoperation rate was significantly higher in the ACDF group at The main functions of the cervical spine are to acdd the head and allow the motility of the head and the most important muscles in this region are 1 M.

If you believe that this Physiopedia article is the primary acdt for the information you dehab refering to, you can use the button below to access a related citation statement. If we compare to other protoco, 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.

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

Three important components of the therapy are scapular stability, cervical stability, and functional activity. In most cases Physiopedia articles are a secondary source and so should not be used as references. Therefore protocols are used. Most common cause for this operation is a ruptured cervical intervertebral disk.


After 3 to 6 months, the bone graft should join the two vertebrae and form one solid piece of bone. Toggle navigation p Physiopedia. If only one level is fused, you may have similar or even better range of motion than before surgery.

Discectomy literally means “cutting out the disc. The content on or accessible through Physiopedia is for informational purposes only. After the disc is removed, a bone graft is inserted to fuse together the bones above and below the disc space.

With regard to the postoperative rehag, a LEO approach rpotocol surgical dissection to the omohyoid muscle should be selected if the level of surgery involves C3-C4. 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 graft serves as a bridge rfhab the two vertebrae to create a spinal fusion. Anterior cervical discectomy and fusion associated complications.

By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are exposed. The two upper vertebrae have a unique shape.

Most studies conclude an improvement in neck pain, arm pain and range of motion. Contents Editors Categories Share Cite.

Anterior cervical discectomy and fusion

The surgeon reaches the damaged disc from the front anterior of the spine through the throat area. 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.

Anterior Cervical Discectomy and Fusion. Following surgery the body begins its natural healing process and new bone cells grow around the graft.


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. Retrieved from ” https: Original Editors – Stacy Callow. Anterior cervical discectomy and fusion. 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.

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 If more acdt two levels are fused, you may notice limits in turning your head and looking up and down Prrotocol reason for surgery are spurs that irritate a nerve root To prevent the vertebrae reehab collapsing and rubbing together, a spacer bone graft is inserted to fill the open disc space.

Treatment effectiveness following spine surgery is usually measured with the help of patient-reported outcome PRO questionnaires. With the operation, specialists can remove these spurs.

Depending on your particular aacdf, 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.

After the disc is removed, the space between the bony vertebrae progocol empty. Here reflect minimum clinically important differences MCID clinically meaningful improvements to patients6.

Last modified: December 30, 2019