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15 Jul, 2022
Every other surgery or procedure carries several risks and complications. But, even if the risk is low for some surgeries, you should not overlook the minute chances of developing serious complications. Here we’ve discussed the complications of anterior cervical discectomy and fusion surgery. Keep reading to learn the same.
Anterior cervical discectomy and fusion are usually recommended for patients who have cervical spondylosis or disc herniation with myelopathy/radiculopathy that is
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unresponsive to conservative therapy. Additionally, it may be indicated in certain malignant, traumatic, or infectious processes of the cervical vertebrae that cause instability.
The procedure is performed through an anterolateral neck incision, with the surgical approach passing medially between the aerodigestive tract (trachea, esophagus, pharyngeal muscles) and laterally between the carotid neurovascular bundle (carotid artery, internal jugular vein, vagus nerve).
The intervertebral disc and the fibrocartilage covering the adjacent vertebral endplates are then removed (to allow for eventual osseous fusion). Reaching back to the posterior longitudinal ligament, removing osteophytes and disc protrusions as well as extending laterally to decompress the neural exit foramina, is possible.
Following decompression, an interbody spacer of some kind is introduced to aid fusion/improve stability.
After that, an anterior cervical plate with screws that pass into the vertebral bodies above and below the operative segment is typically used to provide additional stability.
Newer devices combine screw fixation and interbody spacing into a single device that fits entirely within the interbody space and does not require the added bulk of the anterior plate.
Also, Read - Types of Spine Surgeries and their Implications
As per our spine surgeon, the following are the complications associated with ACDF surgery.
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