Cervical anterior decompression & fusions (ACDFs)

Cervical Anterior Decompression and Fusion
(ACDF)

This section provides outcome data on patients who have undergone anterior decompression and fusion procedures (ACDFs), at one or more levels for degenerative conditions, associated with spinal cord or nerve root compression. For nerve root compression, where suitable, Mr Sears generally manages that problem with a posterior decompressive lamino-foraminotomy, rather than by ACDF.

Data last updated: 7th June 2024

Number of patients/procedures reviewed: 68
Number (%age) of patients with follow-up/outcome data: 59 (85.5%)
Average time from surgery to last follow-up: 39.9 months
Age of patients -
Average: 59.0 years
Median: 58.8 years
Range: 22.9 - 83.0 years

Patient satisfaction at last follow-up:

"Was the operation worthwhile?"
- Yes 94.8%
- No 5.2%
- Uncertain 0%
"Under similar circumstances, would you have it again?"
- Yes 89.3%
- No 7.1%
- Uncertain 3.6%

Outcome scores:

Pain scores -
   Neck pain -
Least:
Average:
Most:
   Arm pain -
   Least:
   Average:
   Most:

Oswestry Neck Disability Index:

SF-36
PCS:
MCS:

Pre-operative

2.9 / 10
3.9 / 10
5.1 / 10

2.9 / 10
4.0 / 10
6.6 / 10

34.8 (+/-20.6)

37.8 (+/-10.9)
44.3 (+/-12.3)

Last follow-up

1.2 / 10
1.6 / 10
2.6 / 10

0.7 / 10
0.9 / 10
1.5 / 10

19.6 (+/-17.0)

42.3 (+/-13.1)
49.6 (+/-10.6)

Cervical Anterior Decompression and Fusion(​ACDF)

Outcome scores:

Pre-operative

​Last follow-up

Cervical Anterior Decompression and Fusion
(ACDF)

Last follow-up