Skip to content pay bill careers contact rush-copley search our site patient education you are here: home > rush-copley medical group > rush-copley neurosurgery > patient education > anterior cervical discectomy and fusion (acdf) anterior cervical discectomy and fusion (acdf)   what is an acdf? prednisone viagra drug interactions Anterior cervical discectomy and fusion, or acdf, is a surgical procedure used to treat degenerated discs in the neck or cervical spine. viagra online without prescription Who is a candidate for an acdf? se usa viagra 20 mg Patients with neck pain and/or arm pain, weakness or numbness who have failed conservative measures (physical therapy, medications, injections, etc. viagra canada ) and who have evidence of disc degeneration or herniation on mri are candidates for an acdf. What happens during surgery? cheap viagra online The patient is brought to an operating room and placed under general anesthesia with a breathing tube for the duration of surgery. A small incision is made in the front of the neck, usually in an existing skin crease to make the scar less visible after surgery. viagra online with price Normal structures in the neck, including the esophagus, trachea, nerves, and blood vessels are moved aside, and a retractor is placed, creating a small tunnel to the spine. se usa viagra 20 mg The degenerated disc and bone spurs are then completely removed under microscope magnification to take the pressure off the spinal cord and nerves – this is the discectomy part of the procedure. Once the disc is removed, a synthetic spacer packed with material that promotes bone healing is placed in the disc space. se usa viagra 20 mg Over time, the vertebrae immediately above and below the spacer heal together into one block of bone – this process is called a fusion. Fusing one disc space in the cervical spine typically leads to a loss of about 10 degrees of motion – an amount that most people do not notice. This process is then repeated for any other discs that need to be treated. A thin titanium plate is then placed on top of the spine and secured to the vertebrae with small titanium screws in order to provide stability while the fusion is taking place. The plate and screws do not need to be removed and do not set off the metal detector at the airport. If more than one disc is treated, a small drain may be placed and brought out through the skin to collect any fluid or blood after surgery, usually for about one day. buy viagra The incision is then closed with sutures that stay under the skin and dissolve over time, so no suture removal is n. viagra und viagra zusammen nehmen order viagra Copyright 2015 www.dstefanou.gr - All Rights Reserved
Dimitris Stefanou
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