Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

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Anterior Cervical Corpectomy and Fusion (ACCF)

Anterior Cervical Corpectomy and Fusion (ACCF)

Anterior Cervical Corpectomy and Fusion (ACCF) is a surgical procedure aimed at addressing cervical spine conditions that involve the removal of vertebral bodies. This comprehensive overview provides insights into the procedure, its indications, the surgical process, and expected outcomes.

  1. Indications for ACCF:
    • ACCF is typically recommended for individuals experiencing cervical spine issues such as spinal cord compression, vertebral fractures, tumors, or severe degenerative conditions that affect multiple vertebral bodies.
  2. Preoperative Evaluation:
    • Patients undergoing ACCF undergo a thorough preoperative evaluation, including physical examinations, imaging studies (such as MRI or CT scans), and discussions about their medical history. This helps determine the appropriateness of ACCF and aids in surgical planning.
  3. Surgical Procedure:
    • ACCF is performed under general anaesthesia. The key steps of the procedure include:
      • An incision is made in the front of the neck to access the cervical spine.
      • The affected vertebral bodies, including the disc and adjacent bone, are removed, relieving pressure on the spinal cord.
      • A bone graft, often sourced from the patient’s own body or a donor, is inserted into the resulting gap to promote fusion.
      • Metal plates, screws, or cages may be used to stabilize the spine and facilitate fusion.
  4. Bone Graft Options:
    • Similar to Anterior Cervical Discectomy and Fusion (ACDF), various graft options are available for ACCF:
      • Autograft: Bone from the patient’s own body, typically the hip.
      • Allograft: Donor bone from a tissue bank.
      • Synthetic Grafts: Artificial materials designed to promote fusion.
  5. Postoperative Recovery:
    • Patients are monitored in the hospital for a few days post-surgery. A neck brace may be recommended to support the healing process. Physical therapy is often initiated to aid recovery, improve mobility, and prevent complications.
  6. Expected Outcomes:
    • ACCF aims to alleviate symptoms, restore stability, and prevent further degeneration by promoting fusion. Successful fusion typically occurs within a few months, providing long-term relief for many patients. However, individual outcomes can vary.
  7. Risks and Complications:
    • As with any surgical procedure, ACCF carries certain risks, including infection, bleeding, nerve injury, or complications related to the graft or hardware. Patients should be informed about these potential risks and discuss them thoroughly with their healthcare team.

 

  1. Postoperative Care and Rehabilitation:
    • Following ACCF, patients are advised to adhere to a postoperative care plan, including activity restrictions and prescribed medications. Rehabilitation exercises are crucial to restoring strength, flexibility, and overall function.

Conclusion:

Anterior Cervical Corpectomy and Fusion is a specialized surgical procedure designed to address more extensive cervical spine issues involving vertebral bodies. While ACCF has shown success in providing relief for many individuals, it is essential for patients to have thorough discussions with their healthcare team to understand their specific condition, treatment options, and potential risks. This collaborative approach ensures that patients can make informed decisions about their care, leading to the best possible outcomes.

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    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient