The estimated cost of Anterior Cervical Discectomy and Fusion (ACDF) surgery in India usually starts $5000 however, it may go up to as much as $10,000. it depends on the hospital charges and the fee charged by the surgeon. This price usually does not cover the post-operational physiotherapy program. Additional costs also involve the diagnostics before the surgery and pre-operational consultations.
Anterior cervical discectomy and fusion (ACDF) is a surgery procedure to relieve pressure from the nerve roots or backbone. ACDF surgery is a very common procedure relative to overall spine surgeries and has a long and studied record of positive outcomes. An ACDF surgery consists of removal herniated or degenerative and then growing bone between the spinal cord above and below. ACDF surgery may be an option if physical therapy or medications fail to relieve your neck or arm pain caused by pinched nerves. Patients typically go home the same day. ACDF procedures may be performed with the use of an implant, such as a plate, to provide support until fusion occurs.
Full form of ACDF Surgery ( Anterior Cervical Discectomy Fusion Surgery
Anterior cervical discectomy and fusion (ACDF) procedure is associated with an 80% to 90% rate of improvement in symptoms of pain radiating down the arms. Potential success is, however, influenced negatively by the length of time the symptoms have been present.
You may be a candidate for anterior cervical discectomy and fusion surgery if you have:
The primary indication for ACDF Surgery is a cervical disc herniation. The goal of the procedure is to relieve
pressure on the spinal cord and nerve roots by removing the diseased disc. ACDF may be recommended if
Fact:- No matter what surgical procedure you are getting ready to undergo, there are general guidelines that will help you prepare for your upcoming surgery. Your cooperation is greatly appreciated in this joint effort.
A comprehensive history and physical will be required that will include:
Important Reminder:- Ensure that you do not have anything to eat after midnight the night before your surgery.
Step 1. Surgical Approach
Step 2. Disc removal / Decompression.
Step 3. Placement of Bone Graft and Instrumentation
Step 4. Closure
After anterior cervical discectomy and fusion surgery you will wake up in the recovery room, where your vital signs will be monitored and your immediate postoperative condition will be carefully observed. Most patients stay in the recovery room between one and three hours after surgery. Once the medical staff feels that you are doing well, you will be returned to your ward in the hospital
Back on the Ward
Every surgery presents its own risks and complications, and so it is also with anterior cervical discectomy and fusion Surgery in India. The rate of risks and complications in this surgery vary and depend on a combination of these factors:
A. Generally patient need 4 to 6 weeks to complete the starting healing process, but this depends on patient age, health, and other factors. After a follow-up with the surgeon, patient usuelly start physical therapy. the main goal of physio therapy to reduce pain and can restore mobility to the area.
A. Some patients are surprised that the most irritating pain immediately after ACDF surgery. may not be in the neck but rather in the upper back and shoulders (due to the fusion altering the attached muscles’ biomechanics) or in the hip (if bone graft was taken from there)
A. Usually ACDF surgery take about 1-3 hours but also ACDF surgery depends on each individual patient’s circumstances and diagnosis. Sometimes patients may need more than one level decompressed and fused.
A. Patients have restrictions after anterior cervical discectomy fusion surgery to ensure that the soft tissues can heal and so the bone graft fusion eventually heals appropriately as well. Usually, lifting is limited to no more than 10 pounds (roughly what a gallon of milk weighs) for the first two weeks.
Neck range of motion will be limited by a brace that is frequently prescribed in the post-operative period from surgery.
Patients are encouraged to walk around as tolerated for exercise however. If you are undergoing an anterior cervical discectomy and fusion surgery In India, details regarding your post-operative restrictions would be discussed in greater detail in clinic.
A. In most cases your Surgeon will prescribe a brace for you to wear after anterior discectomy and fusion surgery. The style of brace and the length that the patient must wear it depends on the specifics of the surgery and various other factors. Initially the brace should be worn at all times except when showering and when eating meals. This means that it should be worn even during sleep.
A. Depending on your surgical incision, you may have showering restrictions. Ask your physician for appropriate instructions.
A. Most people can start driving when they are off of narcotic pain medications. It is illegal to drive a car while taking narcotics. You must also be able to comfortably maneuver your foot from the gas pedal to the brake pedal quickly and be able to check your mirrors and blind spots prior to driving. Wearing a brace may preclude safe driving.
A. Walking is your main form of therapy in the immediate post-operative period and is encouraged to avoid deconditioning, blood clots and respiratory complications. You should take several short walks on a daily basis, even if it is just within your home. You can increase the frequency and length of walks as tolerated by your pain and comfort level.
Physical therapy is NOT recommended in the immediate post-operative period. Your need for physical therapy will be determined in future follow-up visits. You may not need any formal physical therapy at all.