Anterior Cervical Discectomy and Fusion (ACDF) and Artificial Cervical Disc Replacement (ADR)

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. Artificial Cervical Disc Replacement surgery involves removing a diseased cervical disc and replacing it with an artificial disc.
Our Treatment Procedures:
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Backed by Clinical ResearchUsing research-backed procedures to improve the lives of our patients.

Why Choose ACDF or ADR?

Anterior cervical discectomy and fusion (ACDF) is a type of neck surgery performed to remove a damaged disc to relieve spinal cord or nerve root pressure.

This procedure is usually done for surgical decompression to help alleviate corresponding pain, weakness, numbness, and tingling. It is recommended for patients who prefers a procedure using an anterior approach.

Artificial Cervical Disc Replacement (ADR) is an innovative surgical procedure that removes a damaged disc and replaces it with an artificial disc. The artificial disc helps to preserve motion in your neck.

Is it Suitable for Me?

You may be a candidate for ACDF or Artificial Cervical Disc Replacement (ADR) if you have a herniated or degenerative disc, significant weakness in your hand or arm or symptoms that have not improved with physical therapy or medication.

Understanding the ProcedureAnterior Cervical Discectomy and Fusion (ACDF)

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  • Overview
    This surgery removes a herniated or diseased disc and relieves neck and radiating arm pain caused by parts of the disc pressing on nerve roots.
  • Incision Created
    The surgeon performs this procedure through an incision on the front of the nerve.
  • 1) Disc Removed
    The diseased or damaged disc is removed. As pressure is removed from the pinched nerve roots, pain is relieved.
  • 2) Graft Inserted
    The space above and below the removed disc is cleared and prepared for a bone graft. The graft is placed between the vertebrae.
  • 3) Metal Plate Attached
    The surgeon may screw a small metal plate over the area to hold the bones in place while the vertebrae heal.
  • End of Procedure
    During the healing process, the bone graft knits together with the vertebrae above & below to form a new bone mass called a fusion.

Understanding the ProcedureArtificial Cervical Disc Replacement (ADR)

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  • Overview
    A goal of this procedure is to relieve the pain caused by pinched nerves due to a damaged disc in the cervical spine. The diseased or damaged disc will be replaced with a specialised implant.
  • 1) Removing the Disc
    The surgeon creates a small incision in the front of the neck to gain access to the spine. The diseased disc is removed from between the vertebral bodies.
  • 2) Preparing the Vertebrae
    The surfaces of the vertebral bodies are cleared of all damaged disc tissue and shaped to accept the implant.
  • 3) Implanting the Disc
    The PCM® artificial disc is inserted into the space between the vertebrae and carefully tapped into place. The endplates are designed to bond tightly to the vertebral bodies, stabilising the spine.
  • Alternative Treatment: Spinal Fusion
    The spinal fusion procedure uses a metal plate to connect the vertebrae above and below the removed disc.
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Treatment ProceduresAnterior Cervical Discectomy and Fusion (ACDF) and Artificial Cervical Disc Replacement (ADR) may be used to treat the following conditions

Herniated Disc

A herniated disc occurs when inflammatory proteins from a disc’s inner core leak out.

Degenerative Disc Disease

Degenerative disc disease is when normal changes that take place in the discs of your spine cause pain.

Spinal Stenosis

Spinal stenosis happens when the spaces in the spine narrow and create pressure on the spinal cord and nerve roots.

Our team believes in understanding each and every patient in depth. This patient-centered approach has helped us greatly in ensuring that they are always progressing and meeting their recovery milestones.
Dr Loo Wee Lim— Orthopaedic Surgeon