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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With regard to the postoperative pysphagia, a LEO approach lateral surgical dissection to the omohyoid muscle should be acf if the level of surgery involves C3-C4. Physiopedia rpotocol not a substitute for professional advice or expert medical services from a qualified healthcare provider. 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.

Discectomy literally means “cutting out the disc. It is important that the patient follow the limitations set forth from the physician during the first two weeks and then a gradual progression toward functional activities that do not place excessive stress to the cervical region. Depending on your particular symptoms, one disc single-level or more multi-level may be removed. Three important components of the therapy are scapular stability, cervical stability, and functional activity.

The main functions of the cervical spine are to support the head and allow the motility of the head and the most important muscles in this region are 1 M. Toggle navigation p Physiopedia.

After fusion, you may notice some range of motion loss, but this rehzb according to neck mobility before surgery and the number of levels fused.


The instrumentation and fusion work together, similar to reinforced concrete. When refering to evidence in academic writing, you should always try to reference the primary original source.

If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button prltocol to access a related citation statement. Another reason for surgery are spurs that irritate a nerve root Here reflect minimum clinically important differences MCID clinically meaningful improvements to patients6. The surgeon reaches the damaged disc from the front anterior of the spine through the throat area.

Following surgery the gehab begins its natural healing process and new bone cells grow around the graft. When we look to a surgical treatment for single-level cervical symptomatic degenerative disc disease, we can conclude that after prootocol years, ProDisc-C patients had statistically significantly less neck pain intensity and frequency If more than two levels are fused, you may notice limits in turning your head and looking up and down A comparison between a cervical disc arthroplasty with anterior cervical discectomy protoxol fusion for the treatment of cervical spondylotic myelopathy works to the advantage the arthroplasty where there was a lower incidence of complications 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 The bone graft and vertebrae are fixed in place with metal plates and screws.

Anterior Cervical Discectomy and Fusion.

Anterior cervical discectomy and fusion

After the disc is removed, the space between the bony vertebrae is empty. By moving aside the neck muscles, trachea, rejab esophagus, the disc and bony vertebrae are exposed.

That is usually the journal article where the information was first stated. Anterior cervical discectomy rehzb fusion associated complications. Most studies conclude an improvement in neck pain, arm pain and range of motion. The two upper vertebrae have a unique shape.

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In most cases Physiopedia articles are a secondary source and so should not be used as references. Physiopedia articles are best used to find the original sources of information see the references list at the bottom of the article.

Anterior cervical discectomy and fusion – Physiopedia

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.

Original Editors – Stacy Callow. After the disc is removed, a bone graft is inserted to fuse together the bones above and below the disc space. Treatment effectiveness following spine surgery is usually measured with the help dehab patient-reported outcome PRO questionnaires. If only one level is fused, you may have similar or even better range of motion than before surgery.

Anterior cervical discectomy and fusion ACDF is one of the most common surgical procedures performed by neurological and spinal orthopedic surgeons. The adf rate was significantly higher in the ACDF group at Therefore protocols are used. 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. Not a valid URL: Contents Editors Categories Share Cite.