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 Discectomy and Fusion (ACDF)

Anterior Cervical Discectomy and Fusion (ACDF)

Anterior Cervical Discectomy and Fusion (ACDF) is a surgical procedure commonly performed to address cervical spine issues, such as herniated discs, degenerative disc disease, or spinal stenosis. This comprehensive overview provides insight into the procedure, its indications, the surgical process, and the expected outcomes.

  1. Indications for ACDF:
    • ACDF is typically recommended for individuals experiencing symptoms such as neck pain, arm pain, weakness, or numbness caused by a herniated or degenerated cervical disc. It may also be performed to address cervical instability or spinal cord compression.
  2. Preoperative Evaluation:
    • Before the surgery, patients undergo a thorough evaluation, including physical examinations, imaging studies (such as MRI or CT scans), and discussions about their medical history. This helps determine the suitability for ACDF and aids in surgical planning.
  3. Surgical Procedure:
    • ACDF is performed under general anaesthesia. During the procedure:
      • An incision is made in the front of the neck, providing access to the cervical spine.
      • The problematic disc or discs are removed (discectomy) to relieve pressure on nerves or the spinal cord.
      • A bone graft, often sourced from the patient’s own body or a donor, is placed in the disc space to promote fusion.
      • To enhance stability, a metal plate and screws may be used to immobilize the vertebrae.
  4. Bone Graft Options:
    • Several graft options exist for ACDF:
      • Autograft: Bone from the patient’s own body (typically the hip) is commonly used.
      • Allograft: Donor bone from a tissue bank.
      • Synthetic Grafts: Artificial materials designed to promote fusion.
  5. Postoperative Recovery:
    • Patients are usually observed in the hospital for a day or two post-surgery. A neck brace may be recommended to support the healing process. Physical therapy may also be initiated to aid recovery and improve range of motion.
  6. Expected Outcomes:
    • ACDF aims to alleviate symptoms, restore stability, and prevent further degeneration. 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, ACDF carries certain risks, including infection, bleeding, nerve injury, or complications related to the graft. Patients should be aware of these potential risks and discuss them with their healthcare team.
  8. Alternative Techniques:
    • In some cases, alternative techniques such as cervical disc replacement may be considered, preserving motion at the affected segment rather than promoting fusion. The choice between ACDF and disc replacement depends on various factors, including the patient’s condition and surgeon preference.
  9. Postoperative Care and Rehabilitation:
    • Following ACDF, patients are advised to follow a postoperative care plan, including limitations on certain activities and adherence to prescribed medications. Rehabilitation exercises play a crucial role in restoring strength and flexibility.

Conclusion:

Anterior Cervical Discectomy and Fusion is a well-established surgical procedure designed to address cervical spine issues and improve the overall quality of life for patients experiencing symptoms related to cervical disc pathology. While ACDF has shown success in providing relief for many individuals, it is essential for patients to discuss their specific condition, treatment options, and potential risks with their healthcare team to make informed decisions about their care.

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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