General anesthesia is used for all spinal surgeries to induce a state of unconsciousness and prevent the patient from feeling pain during the procedure.
Anterior Cervical Discectomy and Fusion (ACDF)
Anterior cervical discectomy and fusion (ACDF) is a type of neck surgery that involves removing a damaged disc to relieve spinal cord or nerve root pressure and alleviate corresponding pain, weakness, numbness, and tingling. A discectomy is a form of surgical decompression, so the procedure may also be called an anterior cervical decompression.
ACDF surgery can usually be done in 1 to 2 hours, but may take up to 3 or more hours. The time depends on how many discs will be removed, how badly the discs or vertebrae are diseased, and other factors. Your surgeon will give you a general idea about how long your surgery might last.
Most patients are able to go home 1-2 days after surgery. Before patients go home, physical therapists and occupational therapists work with patients and instruct them on proper techniques of getting in and out of bed and walking independently. Patients are instructed to avoid bending and twisting of the neck in the early postoperative period (first 2-4 weeks). Patients can gradually begin to bend and twist their neck after 2-4 weeks as the pain subsides and the neck and back muscles get stronger. Patients are also instructed to avoid heavy lifting in the early postoperative period (first 2-4 weeks).
Cervical Disc Replacement (Arthroplasty) using Mobi C
In a surgery with the Mobi-C Cervical Disc, the unhealthy disc is removed, but instead of a bone spacer or plastic implant along with a plate and screws, a Mobi-C is implanted into the disc space. Where a fusion procedure is intended to eliminate motion at the surgery levels, the goal of a surgery with Mobi-C is to allow motion at those levels.
The total surgery time is approximately an hour, depending on the number of spinal levels involved.
Most patients return to work within six weeks of surgery. In the U.S. Mobi–C clinical trial, the return to work time was 20.9 days shorter for Mobi–C patients compared to fusion patients for two-level surgery and 7.5 days shorter for Mobi–C patients compared to fusion for one-level surgery.
Cervical Posterior Foraminotomy
This surgery creates more space for a compressed spinal nerve in your neck. The procedure relieves painful pressure caused by a herniated or degenerative disc.