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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That is usually the journal article where the information was first stated.

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. With the operation, specialists can remove these spurs.

Anterior cervical discectomy and fusion

The incision is made in the front of the spine through the throat area. The main functions of the cervical spine are to support the head and allow the motility rebab the head and the most important muscles in this region are 1 M.

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reuab Depending on your particular symptoms, one disc single-level or more multi-level may be removed. If only one level is fused, you may have similar or even better range of motion than before surgery. By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are exposed.


Anterior cervical discectomy and fusion. Therefore protocols are used. The content on or accessible through Physiopedia is for informational purposes only. To prevent the vertebrae from collapsing and rubbing together, a spacer bone graft is inserted to fill the open disc space. The bone graft and vertebrae are fixed in place with metal plates and screws. Toggle navigation p Physiopedia. Not a valid URL: Surg neurol ; Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article.

Here reflect minimum clinically important differences MCID clinically meaningful improvements to patients6. 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. It is better to choose a Zero-Profile implant in an anterior cervical discectomy and fusion. Treatment effectiveness following spine surgery is usually measured with the help of patient-reported outcome PRO questionnaires.

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 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.


Prtocol Editors Categories Share Cite. 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.

The instrumentation and fusion work together, similar to reinforced concrete.

Anterior cervical discectomy and fusion – Physiopedia

In most cases Physiopedia articles are a secondary source and so should not be used as references. 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 two upper vertebrae have a unique shape.

Three important components of the therapy are scapular stability, cervical stability, and functional activity. The graft serves as a bridge between the protoclo vertebrae to create a spinal fusion. Discectomy literally means “cutting out the disc. Anterior cervical discectomy and fusion associated complications. Anterior cervical discectomy and fusion ACDF is one of the most common surgical procedures performed by neurological and spinal orthopedic surgeons.