Surgical Technique of Anterior Cervical Discectomy and Fusion (ACDF)

  • Abhay S. Rao
  • Antony L. R. Michael
  • Jake Timothy


  • ACDF has gained wide acceptance in the management of refractory symptoms attributed to cervical intervertebral disc disease.

  • The aim of the procedure is to remove the intervertebral disc and variable amounts of bony osteophytes and the posterior longitudinal ligament (PLL) thus ensuring adequate decompression of the spinal cord and nerve roots.


Recurrent Laryngeal Nerve Neck Disability Index Posterior Longitudinal Ligament Epidural Abscess Adjacent Vertebral Body 
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Further Reading

  1. Bohlman HH, Emery SE, Goodfellow DB, Jones PK. Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy: long-term follow-up of one hundred and twenty-two patients. J Bone Surg (Am). 1993;75:1298–307.Google Scholar
  2. Hilibrand AS, Fye MA, Emery SE, Palumbo MA, Bohlman HH. Increased rate of arthrodesis with strut grafting after multilevel anterior cervical decompression. Spine. 2002;27:146–51.PubMedCrossRefGoogle Scholar
  3. Chang SW, Kakarla UK, Maughan PH, DeSanto J, Fox D, Theodore N, et al. Four-level anterior cervical discectomy and fusion with plate fixation: radiographic and clinical results. Neurosurgery. 2010;66(4):639–46.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Abhay S. Rao
    • 1
  • Antony L. R. Michael
    • 2
  • Jake Timothy
    • 3
  1. 1.Department of Spinal SurgeryLeeds Teaching Hospitals NHS TrustLeedsUK
  2. 2.Department of Trauma and OrthopaedicsLeeds Teaching Hospitals NHS TrustLeedsUK
  3. 3.Department of NeurosurgeryLeeds Teaching Hospitals NHS TrustLeedsUK

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