Anterior cervical decompression and fusion

Abstract

Anterior cervical decompression and fusion (ACDF) is a commonly utilized surgical treatment option for patients with cervical radiculopathy or myelopathy secondary to cervical spondylosis that is refractory to nonsurgical management. The primary aim of ACDF is physical decompression of neurologic structures, restoration of cervical alignment, and achievement of bony fusion. ACDF offers excellent results for the vast majority of patients. However, careful patient selection and surgical technique are vital to the success of ACDF surgery. The information presented within this chapter can better inform spinal surgeons on strategies for patient selection, surgical technique, and complication avoidance in patients deemed suitable candidates for ACDF surgery.