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Spinal Cord Disorders Message Board


Spinal Cord Disorders Board Index


EA,

As I understand it, going in via the throat, removing the disc, replacing it with your own or donor bone, and then attaching a plate to stabilise it is and assist the fusion is probably the most common form of this surgery and is typically referred to as Anterior Cervical Discectomy and Fusion (ACDF).

There are some variations on this surgery that are in common use, but I think pretty much all of them involve going in via the throat. But things you might want to look into are:

* own bone taken from the hip (autograft) vs donor bone (allograft) which doesn't require a hip operation
* plating vs non-plating (for single level disc surgery, some surgeons don't attach a plate afterwards)
* artificial cervical discs (I believe three are currently on FDA trial in US: Bryan, Prestige and Prodisc-C) - fair bit of literature and studies out on some of these and some of them have been used quite a bit in Europe, Canada and Australia for a few years now but the long term results aren't really known yet.
* titanium cages - don't know much about this.
* Minimally invasive spine surgery (MISS) - doesn't appear to be much literature on this one. I believe with this they make a very small incision and remove only part of the disc but I haven't studied it much.

Regarding the plate - as I understand it they don't typically remove it after the surgery (it just stays there) unless you have some problems with it like swallowing difficulties or pain etc. in which case sometimes going in and taking the plate out can help to fix these sorts of problems.

I haven't had the surgery either - so I'm in the same boat as you at the moment - but as you can see there are quite a few people on here that have which is helpful :) .
[QUOTE=rob_zzz]EA,

As I understand it, going in via the throat, removing the disc, replacing it with your own or donor bone, and then attaching a plate to stabilise it is and assist the fusion is probably the most common form of this surgery and is typically referred to as Anterior Cervical Discectomy and Fusion (ACDF).

There are some variations on this surgery that are in common use, but I think pretty much all of them involve going in via the throat. But things you might want to look into are:

* own bone taken from the hip (autograft) vs donor bone (allograft) which doesn't require a hip operation
* plating vs non-plating (for single level disc surgery, some surgeons don't attach a plate afterwards)
* artificial cervical discs (I believe three are currently on FDA trial in US: Bryan, Prestige and Prodisc-C) - fair bit of literature and studies out on some of these and some of them have been used quite a bit in Europe, Canada and Australia for a few years now but the long term results aren't really known yet.
* titanium cages - don't know much about this.
* Minimally invasive spine surgery (MISS) - doesn't appear to be much literature on this one. I believe with this they make a very small incision and remove only part of the disc but I haven't studied it much.

Regarding the plate - as I understand it they don't typically remove it after the surgery (it just stays there) unless you have some problems with it like swallowing difficulties or pain etc. in which case sometimes going in and taking the plate out can help to fix these sorts of problems.

I haven't had the surgery either - so I'm in the same boat as you at the moment - but as you can see there are quite a few people on here that have which is helpful :) .[/QUOTE] thanks for the info bro are the risks serious?





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