The anterior cervical diskectomy and fusion (ACDF) was first introduced in the 1950s by doctors Robert Robinson and George Smith. The procedure stems from the spine fusion and takes the alternative anterior approach. The surgical approach remains the same, but the technology has improved dramatically in the past few years.
A Breakdown of ACDF
Anterior: Accesses the spine from the front of the body rather than the back
Cervical: A focus on neck pain originating from the cervical spine
Discectomy: Surgical removal of a herniated or degenerative cervical disc
Fusion: Fusing bones to create stability through bone grafting
What is Anterior Cervical Discectomy and Fusion (ACDF)?
ACDF targets cervical pain, sensory disturbances, and neck and spine dysfunction. The procedure involves creating a small incision in the affected area to remove the damaged disc causing chronic pain. Typically, a herniated or otherwise degenerated disc causes pain, weakness, and numbness in the neck, arms, or hands.
The Latest Technological Advancements in ACDF
The past decade has seen great strides in technological advances for spine surgery. Some of the top innovations include minimally invasive ACDF, enhanced imaging and navigation systems, 3D printed implants, and robotics.
Minimally Invasive ACDF: A Game Changer
One of our proudest offerings at TPC is our minimally invasive approach to spine surgery. Along with many other TPC-branded treatments, our ACDF is minimally invasive, allowing for a shorter recovery time with equal effectiveness.
Exploring the Benefits of Less Invasive Surgical Techniques
- Quicker recovery time
- Same-day discharge from the hospital
- No neck brace
- Minimal trauma to the incision site
Long-Term Clinical Outcomes And Fusion Rate
In a study of 2682 patients, researchers found that when it comes to neck surgery:
- For single-level surgery, the bones fused together in 92.1% of cases.
- For two-level surgery, the fusion rate was 79.9%.
- For three-level surgery, the fusion rate was 65%.
Level refers to the number of disks removed.
The percentage refers to the success rate.
Enhanced Imaging and Navigation Systems in ACDF
During the ACFD procedure, your surgeon uses a high-powered microscope to guide them to the affected site. Enhanced imaging and navigation systems provide surgeons with the ability to identify a more precise location of the disc herniation and the extent of the issue. More precise imaging also allows for the following:
- A better understanding of bone structures
- More precise surgical planning
- Reduction of surgeon errors
- Smaller overall incisions
New Materials in ACDF: From Titanium to 3D Printed Implants
Traditional spinal cord implants are made from titanium, known for its strength and resistance to corrosion. As we advance, these implants can be exchanged for designs that are more patient-specific and efficient through the power of 3D printing.
Patients may require implants during spinal surgery to treat instability and weakness in the spine. 3D printing has taken over the medical realm in recent years, allowing for more customization of complex structures, reduced human error, and quicker turnaround times.
The Impact of Robotics in ACDF Procedures
Robotics in spinal surgery has allowed for greater accuracy and safety. During a spinal fusion, robotic technology aids in rod and pedicle screw placement. This advanced technology replaced manual placement, which is more prone to error. With robotics, spinal procedures can be done quicker, more precisely, and less invasively.
Recovery and Rehabilitation: How Advancements Have Reduced Recovery Time
The primary way that advancements in spinal surgeries have reduced recovery time is through minimizing trauma. Minimally invasive techniques incorporate smaller medical tools and microscope technology to locate, remove, and fuse the affected site with minimal trauma to the body.
The role of technology in the recovery phase comes in several forms, including the following:
- Telehealth for access to Doctor appointments via a smart device
- Mobile apps for rehabilitation apps and medication management reminders
- Electronic health records
- Patient portals for communication and health info access
