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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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When we 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 When refering to evidence in academic writing, you should always try to reference the primary original source. With the operation, specialists can remove these spurs.

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. 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.

If only one level is fused, you may have similar or even better range of motion than before surgery. 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 After the disc is removed, the space between the bony vertebrae is empty.

After 3 to 6 months, the bone graft should join the two vertebrae and form one solid piece of bone.


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. Contents Editors Categories Share Cite.

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

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.

Anterior cervical discectomy and fusion. 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.

Here reflect minimum clinically important differences MCID clinically meaningful improvements to patients6.

Anterior cervical discectomy and fusion – Physiopedia

Discectomy literally means “cutting out the disc. Depending on your particular symptoms, one disc single-level or more multi-level may be removed. 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 The two upper vertebrae have a unique shape. 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 bone graft and vertebrae are fixed in place with metal plates and screws.

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 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.


Retrieved from ” https: By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are exposed.

The graft serves as a bridge between the two vertebrae to create a spinal fusion. The reoperation rate was significantly higher in the ACDF group at Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Anterior cervical discectomy and fusion ACDF is one of the most common surgical procedures performed by neurological and spinal orthopedic surgeons.

Anterior cervical discectomy and fusion

Anterior Cervical Discectomy and Fusion. Original Editors – Stacy Callow. The surgeon reaches the damaged disc from the front anterior of the spine through the throat area. The five remaining vertebrae have a bearing function. Therefore protocols are used. It is better to choose a Zero-Profile implant in an anterior cervical discectomy and fusion.

Another reason for surgery are spurs that irritate a nerve root Not a valid URL: Treatment effectiveness following spine surgery is usually measured with the help of patient-reported outcome PRO questionnaires. The instrumentation and fusion work together, similar to reinforced concrete.

Profocol common cause for this operation is a ruptured cervical intervertebral disk. Anterior cervical discectomy and fusion associated complications.

After the disc is removed, a bone graft is inserted to fuse together the bones above and below the disc space.