NECK
ACDF
Anterior cervical discectomy and fusion
The procedure
ACDF approaches the spine from the front of the neck. The surgeon removes a disc to relieve pressure on nerve roots or the spinal cord, then fuses the treated level or levels.
The goal in your case
The goal may include arm symptom relief, addressing spinal-cord compression or both. Ask your surgeon to explain the priority in your case.
Readiness and clinical context
Hand function, walking, strength, examination findings and any progression can matter alongside neck disability scores.
Alternatives to discuss
Ask whether disc replacement or a posterior approach is an option for your particular condition.
A question for your surgeon
Is the goal pain relief, preventing neurologic decline, or both?
Ask your surgeon to review important complications, the likelihood of benefit and what recovery may involve for you. This summary is not a complete consent discussion.
Prepare for your consultationEducational content adapted from the course of Joel A. Bauman, MD · Board-certified spinal neurosurgeon · Updated .
Supplied course: slides 15, 41, 64 and 65. Educational summary, October 2026.