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Anterior cervical discectomy and fusion (ACDF) is a surgical procedure to treat nerve root or spinal cord compression by decompressing the spinal cord and nerve roots of the cervical spine with a discectomy, followed by inter-vertebral fusion to stabilize the corresponding vertebrae. [1]
Recovery following spinal fusion is extremely variable, depending on individual surgeon's preference and the type of procedure performed. [20] The average length of hospital stay for spinal fusions is 3.7 days. [6] Some patients can go home the same day if they undergo a simple cervical spinal fusion at an outpatient surgery center. [21]
C3, C4, C5: Supply diaphragm (mostly C4) C5, C6: Move shoulder, raise arm ; flex elbow C6: externally rotate the arm C6, C7: Extend elbow and wrist (triceps and wrist extensors); pronate wrist C7, T1: Flex wrist; supply small muscles of the hand: T1–T6: Intercostals and trunk above the waist: T7–L1: Abdominal muscles L1–L4: Flex thigh
In this system, a score of 3 or less indicates that conservative management is appropriate, a score of 5 or more indicates that surgery is needed, and a score of 4 is equivocal. [10] The score is the sum from 3 different categories: morphology, discs and ligaments, and neurology: [ 10 ]
While factors such as the age of patients as well as the duration of symptoms prior to surgery influence recovery time, a study assessing the recovery process in patients showed evidence that the preoperative values of all parameters significantly improved 5 years after the surgery. [9]
Central cord syndrome (CCS) is the most common form of cervical spinal cord injury (SCI). It is characterized by loss of power and sensation in arms and hands. It usually results from trauma which causes damage to the neck, leading to major injury to the central corticospinal tract of the spinal cord. [1]
The second most common site is the cervical region (C5–C6, C6–C7). The thoracic region accounts for only 1–2% of cases. Herniations usually occur postero-laterally, at the points where the annulus fibrosus is relatively thin and is not reinforced by the posterior or anterior longitudinal ligament. [ 21 ]
The recovery period after a laminectomy depends on the specific operative technique, with minimally invasive procedures having significantly shorter recovery periods than open surgery. Removal of substantial amounts of bone and tissue may require additional procedures such as spinal fusion to stabilize the spine and generally require a much ...