ACDF (Anterior Cervical Diskectomy and Fusion) - What is it? How do you do it? What can I do after?
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- čas přidán 31. 05. 2024
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Hello friends, today I'm bringing you a video overview of the ACDF or anterior cervical diskectomy and fusion. This is the most common procedure I perform in the neck to help patients with neck pain and pain going into their shoulders, arms, or hands. This surgery has an outstanding success rate and some of my happiest patients are those who have had this done. Learn more about it in the video above.
I'm a board certified orthopedic spine surgeon proudly serving the people of the Bradenton/Sarasota/Lakewood Ranch, FL area in a multi-specialty orthopedic group called 360 Orthopedics (www.360-orthopedics.com).
Timestamps:
00:00 - Intro
00:54 - Anatomy and Overview
07:36 - Surgical Procedure Steps
12:16 - Symptoms, Causes, Expected Recovery
19:30 - Conclusion
For A Consultation:
- Please call 360 Orthopedics at 941-360-2233 and ask for Dr. Armaghani
- Go to www.ArmaghaniSpine.com and click "Book An Appointment"
Office Locations - 360 Orthopedics
1. 5985 Silver Falls Run, Suite 101
Lakewood Ranch, FL, 34202
2. 2750 Bahia Vista St, Suite 100
Sarasota, FL, 34239
Other Related Videos:
Cervical Radiculopathy - • Cervical Radiculopathy...
Cervical Myelopathy - • Cervical Myelopathy - ...
Cervical Disk Replacement - • Cervical Disk Arthropl...
Websites:
www.ArmaghaniSpine.com
www.360-orthopedics.com/sheya...
Other Platforms:
Twitter: / armaghanispine
Facebook: / armaghanispine
The content on this CZcams video and channel, including, but not limited to, the text, graphics, images, links, and other materials are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and does not constitute medical or other professional advice. Dr. Armaghani does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the website. Reliance on any information provided herein is solely at your own risk. The information provided on all websites associated with Dr. Armaghani, including www.ArmaghaniSpine.com, is designed to support, not replace, the relationship that exists between patient/site visitor and his/her physician. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this CZcams page or on www.ArmaghaniSpine.com. - Věda a technologie
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It’s been 5 days now post my ACDF, I am a new man after 2 years of pain changed c4 c5 c6 c7. May Allah almighty bless my dr.
I need help. I have multiple disks in neck that need help.. Where are you? I live in Pakistan.. Kindly advise
It would be excellent if all surgeons had such empathy and interest in communicating so clearly for the patients. Thanks for doing this.
Thank you for the kind words, Brian
Thank you Dr I’ve got my surgery 6 weeks ago and now I can watch what they did to me kind of scary 😩thank you for all the explanations step by step and now I understand what they did in my surgery. God bless you Dr❤🙏
Thank you Dr A . I’m going to undergo ACDF anytime soon . I learned a lot from this video . Hoping for speedy recovery post op. Very intelligent Dr .
This is by far the best video I have seen so far having this surgery soon and now I feel confident and not so scared. Thank you so much❤
thanks for the kind words
Me too.. Mine will be within a couple months..
Having this done in 2 weeks in St. Louis. Can't wait. The pain is getting worse every day.
Thank you so much for great explanation, I’m going for that surgery pretty soon .
This is an outstanding video. I just had 2 level ACDF 5 days ago. So helpful.
This video is highly educated. Almost no one made this kind of so simple and i can not not explain...vey nice creater......100 star
I had a cervical fusion 5, 6 and 7. Great video. Very easy to understand and follow. The one thing I'd caution is Tylenol, people tend to take that 4 months at a time to manage pain and recent research has shown that there are significant side effects with Tylenol in your liver.
That is an excellent point
I just had the ACDF C4-C6 two weeks ago. I have been watching these types of videos for the past week or so. I wanted to know what to expect within the first year after surgery. My surgery was successful so all the pain and discomfort I had been living with for years is gone. I am now dealing with the swallowing issue and just wanted to know more about the recovery process and time. This is by far the best video I have seen. You did an amazing job with the pictures you used and explaining everything so that it was so easy to understand. Thank you!
Happy to hear about your result, Dorothy. In general, patients will have some swallowing difficulty and some back of the neck pain (almost like whiplash) for around a month after surgery. This generally will improve with time. I do have patients that tell me that with certain foods and certain positions they "feel something in their throat" which may be some scar tissue between your esophagus and the plate or bones. The more time goes on the more that scar tissue breaks up. A very small amount of ppl have persistent swallowing issues (~4%).
Dorothy how is your scar on your neck? Hope your still doing well. I need the surgery but am afraid of the scar 😞
@@rosannapaluski2184 Me too...already have one scar at C6. So not wanting another. :(
I had a three level done six years ago. I had difficulty swallowing and talking for about four weeks. The pain felt like a combo of whiplash and strep throat, but the sore throat pain went away after a few days. The scar fades very nicely. It is barely noticeable now. I put scar gel on it once I got the okay from my surgeon and made sure to put sunblock on it. Good luck to you!
@@rosannapaluski2184 you can hardly see mine I had surgery 6 months ago.
Wow, I've watched dozens of videos and this is by far the most clear and informative one. Great job!
My mom is having this surgery on the 21st and we both just watched this and we both wanted to say thank you for such useful information and for making her feel a bit better about this operation over all. You're awesome!!
Thank You DR. for sharing this educational and informative video. Your time is precious and having the time to do this video and explain in detail is excellent.
You are a very dedicated doctor, very kind and understand the patients needs, very clear explanatory. Thank You So Much. From New York 😇😇😇😇😇😇😇😇😇😇🙏
One of the best teachers everrrrrrrrrrrrrr Thank you!!
Ive been in pain close to 10 years. I see a surgeon next week for this. Great explanation, i feel much better about whats going on in my neck and the surgery to fix it. Thank You ❤
Thank you for this video. It gives me a better understanding of what surgery I received. Had this done in Nov. 2021. It is now Jan. 2022 and it has made a world of difference for me. I no longer have daily migraines, I have use of my arms and my two outer fingers no longer hurt and I can move them. I have a decrease of neck pain by over 85%. Having the right neurosurgeon is a must along with his team. I live around St. Louis Missouri and have been suffering for many years and living on pain meds. Finally someone did something to help after years of suffering. Pain management just wants to give injections which did not work. I also was having other issues because of my nerves being so badly pinched. It is painful for about a week or two but I'm so happy now.
Happy you are doing better! I'm an orthopedic surgeon with spine training and both neurosurgeons and ortho spine surgeons do the same excellent job for these conditions.
@@ArmaghaniSpine Thank you! God Bless you and all you do to help people that need it. I'm Blessed to be able to have had this. I can enjoy life now.
This video is very informative and it helps me to make up my mind for the surgery.
Excellent video, the best I have seen and told me all I wanted to know. Very well explained without being patronising in any way. Thank-you.
Thank you!
Thank you for this video. I am having this surgery tomorrow and have been stressing out about it. This helped relieve a huge amount of stress for me. Thank you!
How are you post op ?
Thank you so much for the informative information. This is one of the best videos I have seen so far on this topic. Thank you so much.
Glad it was helpful!
This makes me feel less nervous for surgery. Thank you for explaining it very in depth.
@@MxCPhTAndMetallCats6 very well explained I’m a retired or nurse with cervical degenerative disc disease. Seen already a spine surgeon here in Las Vegas he said I don’t need surgery only physical therapy not helping not even prescribed meds. Where are u in the U.S.?
By far the most informative video I've seen on the subject , very well explained in plain english and easy to follow. Everyone should see this before going through the surgery and recovery process! Thanks for taking the time to make this.
Thank you, James, for the kind words.
I have seen a lot of videos about ACDF, by far this is the best .Thanks a lot .
Thank you, Marty!
I have an ACDF scheduled in a couple weeks. This video really helped me understand the procedure and what all to expect. I’m grateful you took the time to put this together! Thank you!
Good luck Angie. I am hoping to get my scheduled very soon. My laminectomy no longer helping
Best of luck!
@AngieMay- Hoping your surgery went extremely well and healing process if off to a good start!
@@kensilverstein2910 best of health to u Ken!
Excellent video. I had the surgery 3 weeks ago. I didn't know what questions to ask prior to the surgery but now after I have quite a few. This video helped explain.
Incredible video, so informative. My Spine Specialist was impressed that I was able to learn so much from this 1 video. Thank you so kindly as this surgery is major and now I feel informed. Many blessings to you!
Excellent explanation of the procedure
An informative and clear presentation.Thank you very much.
You are truly a Godsend this video has gave me much Peace about having
this surgery very detailed. I have my surgery on Sept. 18. I thank God for you and
those who made comments, Thank you
Excellent exposition, thank you.
This is likely in my future... neck pain and arm/hand numbness symptoms, MRI showed disc herniation. I'm a bit nervous about this and learning as much as I can. Your video was well done and you explained it for the layman... Thank you.
Thank you for this explanation doctor.
This doctor explains this the best!
Thank you, Linda!
Thank you for a very informative video. I just had an ACDF.
The best teaching video I’ve seen. Thank you.
Glad it was helpful!
Had this done over 3 mo ago. Had 3,4 and 5,6 fused. The pain in my left arm is the worst I have ever had. I’m not a stranger to pain so I thought I could stand this pain but no it is so awful. Thank you for you info about it taking nerves a year to feel “normal”. I have nearly given up on being pain free.
hang in there!
How are you now?
A very clear description on ACDF. Thank you!
Thank you!
Excellent presentation !
Great video! Extremely well explained! Thank you!
Glad you enjoyed it!
Just wanted to thank you for this video. It was very helpful for me pre-surgery. I had four level ACDF (C3-C7) four weeks ago. I woke up to no pain, aside from some achy shoulders. Went home from hospital next day and have been pain free entire time. No drugs. Walking 4+ miles per day. As there aren't many multilevel positive recovery stories on CZcams I started documenting my recovery progress as the few out there that I was able to find prior to my surgery were really encouraging. Thanks again!
what a great idea and thank you for your contribution to other patients who will undoubtedly be in your spot.
Since you have surgery at multiple levels can you move neck like before?
Best video and explaination of what is happening and why this surgery needs to be done.
Thank you, Deborah!
I just had my C4-C7 surgery on Tuesday. My pain level is 0-1. I thought I would be out for a while. I stayed overnight in the hospital. Nothing but the work of God! I'm uo moving around like no surgery was done. I did have swallowing day one,but that's it. Swallowing is fine now.
thats great to hear! good luck!
My mom was just diagnosed and scheduled for surgery Monday. This has been the best set of videos on this topic and has helped us tremendously. Thank you for sharing your knowledge and expertise in this area. You are appreciated. Bless you.
Thank you, Keshea. I hope your mother did well with her surgery and wishing her the best!
@@ArmaghaniSpine thank you! Her surgery went very well. However, she is not complying with PT. This is a concern. What could be the results is she does not do PT? Could this reoccur?
I am having this surgery in a couple of months, thank you so much for this explanation. You make it clear and simple for people to understand. Greatly appreciated.
How are you post op?
I am so glad I saw this video. It is the most comprehensible video I've seen on the subject. Feeling much more confident with the 3 level ACDF surgery I'm having just days away. Thank you Dr. Armaghani for this video
Good luck, Miguel!
Thanks Dr Armaghany I had the C4-C7 surgery yesterday and haven’t experienced any intolerable pain. But I had the surgery done for severe right arm weakness and muscle atrophy. Is it normal for it to be worse after surgery? They said C5 was severely compressed so this could take time to resolve.
Awesome informative video Dr. Armaghani I’m having level 3 ACDF surgery 3/1/22 and was concerned about my procedure, it has been a very long time coming with so much pain for years I feel very confident that all will be well, thank you very much Dr. Armaghani.
Thank you for making this video. I had C4-C7 Disectomy and Fusion 1 week ago and of course I was expecting to come out with all my nerve pain gone. Nerve pain has been sporadic at this point and I forget how long I was dealing with it prior to the surgery. Your great explanation of what to expect after has set my mind at ease. I will be having my Post Op Dr visit Nov 7th and get an idea of how things are going. Again, thank you for making and posting this very informative video. :)
How are you feeling now? What about mobility? I’m having the same procedure next month.
Stellar presentation! As a RN, and facing ACDF multiple levels, this provided me with a clearer presentation of surgery, recovery, and my potential future. Thank you so very much. Wish you were up here in MD!
Thank you, Denise. Good luck on your upcoming surgery. Remember, it's a marathon not a sprint!
@@ArmaghaniSpine Thank you for your kind words! For me, a day at a time and...be patient, with the patient!☺️
Do you work in the OR?
I had my surgery on 21 Feb 2021, Yes the symptoms as per your explanation, Thanks for clear explanation. I like your quote, " it's a marathon not a sprint!". Amazing video Doctor.
Thank you, Faris! It's a saying that my father always used to use
Great explanation
Excellent video, thank you
Very interesting,I was able to understand and get a better idea,thank you Doc, blessings
This video was so informative, thank you so much! Literally had my surgery 18 hrs ago and wanted a somewhat timeline of pain as I can’t sleep at the moment from feeling so stiff! This explained that so so well!
Good luck in your recovery!
Hi Leah. How is your recovery? Have you noticed any limited range of motion with your neck? My surgery is 18 days away and I'm doing as much research to prepare myself.
@@bagofnothing make sure to follow your recovery instructions! I suggest getting a wedge pillow! And taking meds on a timed schedule, took about 5 full weeks to get range of motion back, but feel a lot better now!
Thank you so much. I just had this done 1 month ago. I went in to the hospital for numbness in my arm and they explained I had a herniated disc and needed surgery and I got it done the next day. After watching your video I realized my drs left out a lot of information when they talked to me about it. I am a smoker and they knew that no one explained that that could be a risk of it not fusing told me not to take ibuprofen but didn't tell me why etc so I appreciate this video. At least now I know. Thank you.
In an urgent scenario, like it seems you are in, the benefits of acdf likely outweigh the risks that come along with not fusing if you are a smoker. The rates of fusion for a smoker vs. a non smoker for a 1 level ACDF is around 80ish% vs. 95+% so it isn't like a smoker will never fuse. Good luck!
Very informative presentation! I have this procedure to look forward to and I have a much better understanding of it now
Thanks 🙏
Glad it was helpful!
Very good video! I feel much better about going into surgery. I would love to see some imagery and discussion about multiple levels like c3-c6 or so. Thanks again!
Very clearly explanation in this video Dr.
Thank you very much
Thank you!
Great video! 2 weeks post-op and needed this.
Glad it was helpful!
Thankfully. This video is so good and can understand easily. 🙏🏻
you're welcome!
Thank you so much, very informative
Thank you for this very informative video. I will have my surgery next week and trying to learn a lot about the procedure so i know what to expect. I learned a lot just by watching this👍
great to hear!
I'm having this done in March 2022, you made me feel much better about the outcome.
Good luck, Dion!
Thank you so much! Very informative, and I feel much more comfortable for my upcoming 3 disc ACDF
Glad it was helpful!
Elaine, how was your surgery? Would you please share your experience…. Thanks
@@veewicky4965 I’m not Elaine but I had surgery yesterday. Leaving the hospital today. I walked with a gait and now it’s gone. And some of my numbness is gone. Overall, I’m happy I had the surgery and it’s only been less than 24 hours. Looking forward to most if not all of the numbness to go away.
Thank you. Had C6 - Th1 diskectomy with fusion one week ago here in Sweden. This video is the most helpful I have come across. A lot less worried after watching 👍
Good luck!
Was yoursbdone anteriorly ?
Thanks for the info! It was very thorough and easy to follow.
I had a horseback riding accident at 19 and now at 43 I'm looking at ACDF of C3-7 😬 I'm pretty confident that this procedure is my best bet. (I've done everything else already, eg. PT, injections, disc replacement, medications, massage, Thoracic Outlet 1st rib removal, etc.).
Best video.
Thank you had my surgery one week ago.
So what all things had the doc informed you and btw happy post surgical life
Just 3 months max and you can see that old deborah back in action🤟🏼🙂
congrats hope you are doing well
Very detailed! Thanks so much.
you're most welcome
My wife (mid 60's and still employed) is having this procedure on Feb 3, 2022 and I just watched your presentation. She has been diagnosed with Severe Scoliosis but our surgeon agrees the higher priority at present is addressing the cervical spine issue. He plans to fuse C5-6-7 and place a cage between C6-7. He also quickly explained his "plan of attack" but your in-depth presentation made everything perfectly clear and answered all my questions. I so appreciate your very thorough addressing of Risks, Recovery, etc.! I am so glad I found your presentation. God Bless!
Thank you so much for the kind words. Good luck to your wife. A solid plan of attack can be very comforting in the setting of scoliosis and other conditions higher up.
Having this done next weekend, thanks for the informative video. Wish me luck! :)
Good luck!
Hi hope u are healing well!! How are u feeling, my mum is getting this procedure done next week and I'm a little worried :(
How did it go? My wifes is next month. We are so nervous about recovery and everything. Hope you are well
My mum had it done last week!! She is recovering well she's sore but its the best thing she did... wasn't as scary as she imagined
I had this surgery last week to repair three discs. Your video is so well done and informative and almost mirrors exactly the procedure described by my surgeon in Dallas. It helped reinforce that I made the right decision. The points about it being a marathon vs race also serve as a reminder why I’m not feeling like jumping into the Olympics anytime soon as well! Thanks for taking the time to provide this information.
You are most welcome! Good luck on your recovery!
Did you have to wear a neck brace? What medicine was prescribed.
Who did your surgery?
Best presentation
I had the ACDF C5-C6-C7 18 days ago done by Dr Achahbar in Jessa Hasselt Belgium... I have seen many websites before but this is the best video I have seen. Your pictures and explaining is very clear and helpfull. I know now to be more patient with the swallowing difficulties and have trust that everything will work out fine. I will recommand this video !
Thank you for the kind comments coming all the way from Belgium! Give it time. Usually by 4 weeks the swallowing difficulty is mostly resolved. It is reported as under 4% of people who have long-term swallowing issues. Those people are generally older, have preexisting swallowing problems, have surgery higher up in the cervical spine, and have more than 3 levels done.
This video has helped relieve my anxieties about this surgery. Now i know what to expect and i have more confidence about recovery. Thank you so much Dr. Armaghani.
You are very welcome, Angela
Excellent Video on ACDF… I learn a lot
Great to hear!
Excellent excellent video! Thanks so much for posting it. I'm having 2 levels done in April 2022 and your explanation including diagrams help a great deal!
Best of luck!
Which two levels ?
@@ArmaghaniSpine Thank you!😊👍🏼
@@futureclean 5-6, 6-7. Have u had the procedure?
@@betseysarris8927 no however I’m suppose to be doing c5-6, possible c6-7, c7-T1 … I’m 44 I just want the surgeon to do all of them. I don’t want to go thru another acdf. I rather he do all three levels & so I can get it over with…
Doctor Sheyan J. Armaghani I have seen your video and I think that your explanation is very complete and professional. I wish that you be the surgeon who performs my operation. Thank you very much, may God continue to fill you with Blessings your person inspires security and confidence.
good luck ignacio!
This is by far the best presentation I’ve seen. I had C4-C7 in August. Recovery has been rough as I had lost function on the right side prior to surgery. Still have sensitivity in my right forearm but I can at least lift my arm.
Best to you. You and I have same issue. For me, i could not lift left arm. 1 epidural helped then 17 mos later c3-7 acdf but it was too late and spinal cord injury was perm. I did not really understand what cervical myelopathy meant and now advise everyone to NOT wait. My symptoms moved/ worsened b4 surgery on right hand. Am very lucky tho. Perm damage yes, but arranged for care at HSS. 5 days in hospital. Could not swallow water. Just take this yr 1 day at a time.
How are you feeling now? What about mobility? I’m having the same procedure next month.
@@charlie0742001im much better. I have slight pain in my right arm still but nowhere near the pain I had before. I was able to start working out six months after the surgery. I continue to do low impact exercises. If you don’t have a recliner invest in one because I didn’t sleep in my bed for the first two months.
Thank you. I wish my surgeon had explained to me this after the surgery
Thank you, Ping. That's why I made these videos. To help my own patients and others understand very technical parts of the surgeries we perform.
Very clearly explained video. Well done.
Thank you!
Awesome animations and great information.
Glad you like them!
Thank you Dr. Very good information, I’m going in for a C 5-6 on 8/4/23
Thank you for explaining clearly. I had the operation from the back of the neck C5 and C6. Would you consider making a video of that?
I absolutely loved this thank you 🙏
You're so welcome!
This video was exceptionally great, i am about to have one done and feel super confident to contact your office to schedule this procedure.
Best of luck!
Simply great, presentation is simply grwat
Thank you, Hiren!
5 weeks out and feeling good. Thanks for helping my understand why.
Glad to hear!
Thank you you’re easy to understand…
Thank you - I found this very informative - I had C4/C5/C6 done last Friday and looking for to resuming normal activity and strenuous activity for example playing golf and the splitting wood - it looks like it's going to be a while before I can do that
Thank you very much for your very clear explanation especially post operative. I was a bit insecure now 4 weeks after my acdf 5/6/7 as i experience bad days and good days together with tingling and numbness and then some days feel great without pain or anything. You describe exactly the way it is for me which giVes me ease of heart! Good work doctor!❤️
Thank you, Hans. It's a marathon - not a sprint - regarding your recovery. Give it time and let your nerves re make the connections with your spinal cord and brain which takes some time. Ride the bumps in the road during your recovery and you'll come out on the other side great!
T.HA.N.K Y.O.U - This definitely will help to better prepare me mentally, emotionally and physically for the upcoming surgery in December. Its gonna be two levels of ACDF of C5-C6 and C6-C7. Thanks a million Dr.
Good luck!
Very informative! Thank you!
You're most welcome, Darion!
Very good presentation awesome
This presentation helps alleviates a lot of my fears :How does the surgery take to complete given that all everything is going as planned without complications?
Best video ever. Thank you.
welcome
Having this done in 3 days; c5-t1. Been very nervous and scared as I'm still very young with a job working with unpredictable disabled children. This video was very informative. Just one note is my surgeon will be doing a bone graft in between the vertebraes. In this video of yours I'm assuming you don't do this in your surgeries. If you do bone grafts on any of your fusions it would be even more informative as to showing the process of how the bone graft works. Thanks for taking time to make this video!!
Great video! Thank you so much!
You're most welcome!
Great video. Thanks!
thanks much
Phenomenal video.
Thank you, Jesus
Very very informative thank you
So nice of you
Very helpful! Thank you Dr. Arma 0:00 0:00 😊
Great video, thank u Doctor
My pleasure!
I"m getting ready to have multilevel decompression =/- stabilization c4-t1 done within the next month, and it was good to see how this is done
Glad this could help!
Hey Doc, great video! Very informative and clear. I’m day 1 recovery of ACDF C6-7 and doing well. Just some shoulder pain. I didn’t watch any YT videos prior to surgery just to not scare myself from doing it, but if I came across your video I know I would have been reassured that I’d be fine. Thanks.
Best of luck! Glad you are doing well. It's a great surgery.