How long does a 4 level ACDF surgery take?

An ACDF surgery can take one to four hours depending on your condition and the number of disks to be removed. To perform an ACDF surgery, your surgeon: Makes a small cut on the front of your neck. Moves your blood vessels, food pipe (esophagus), and windpipe (trachea) aside to see your vertebrae.

What is 4 level ACDF surgery?

After fusion to 4 levels of his neck, the nerves and spinal cord are decompressed and the space between the bones restored. In early April 2019, over a period of about 90 minutes, Dr. Kachmann performed a four-level anterior cervical discectomy and fusion (ACDF).

How many levels are in ACDF?

ACDF is regularly used for the fusion of one to four cervical spine levels; however, the literature documenting the fusion of 5 or 6 levels is surprisingly lacking.

How many cervical levels are fused?

Cervical Fusion is a major surgery that involves joining one or more of the spinal bones together using screws, bolts, and plates. A three-level cervical fusion is a surgery where three cervical discs are removed and hard is placed to stabilize the neck.

How many years does ACDF surgery last?

Conclusion: ACDF leads to significantly improved outcomes for all primary diagnoses and was sustained for >10 years’ follow-up. Secondary surgeries were performed for pseudarthrosis repair and for symptomatic adjacent-level degeneration.

How serious is ACDF surgery?

While uncommon, as with all surgery there are a number of risks and potential complications that can occur as a result of a cervical decompression and fusion surgery, including: Hemorrhage or formation of a wound hematoma. Damage to the carotid or vertebral artery resulting in a stroke or excessive bleeding, even death.

What are the signs of a failed cervical fusion?


  • Neck pain that remains at the same level it was at before surgery.
  • Neck pain that worsens in the weeks and months after surgery.
  • Muscle tightness, cramps and spasms.
  • Pain, weakness, numbness and tingling that radiates from the neck to the shoulder, arm, hand and fingers.

Is cervical fusion a disability?

If you have suffered from a spinal disorder that has resulted in you undergoing spinal fusion, but you are still unable to work, you may be eligible to qualify for Social Security disability benefits.

Do you need physical therapy after cervical fusion?

Conventional wisdom holds that starting physical therapy or exercise should wait until about six weeks post-ACDF, when your recovery is well underway. However, the SPINE study suggests it may be more effective to begin a home exercise program (HEP) right away.

What does a failed ACDF feel like?

In this case, aching, cramping, and soreness are experienced around the site of the surgery. Nerve pain is the most common reported symptom of failed back or neck syndrome. This means that you will experience shooting pain, tingling, or weakness in the extremity impacted by the back surgery.

Can you mess up a spinal fusion?

Can You Damage a Spinal Fusion? Yes, you absolutely can. While methods for spine surgery have significantly improved over the years, a patient’s recovery still depends on their own diligence and dedication, so following the Dos and Don’ts of spinal fusion recovery is a must.

What does a failed fusion feel like?

After any spine surgery, a percentage of patients may still experience pain. This is called failed back or failed fusion syndrome, which is characterized by intractable pain and an inability to return to normal activities. Surgery may be able to fix the condition but not eliminate the pain.