What is it?
Anterior cervical discectomy with fusion is an operation that involves relieving the pressure placed on nerve roots and/or the spinal cord by a herniated disc or bone spurs - a condition referred to as nerve root compression.

Pain in the neck and extremities, among other symptoms, may occur when an intervertebral disc herniates - when the annulus fibrosus (tough, outer ring) of the disc tears and the nucleus pulposus squeezes out and places pressure on neural structures, such as nerve roots or the spinal cord. Bony outgrowths, called bone spurs or osteophytes, which form when the joints of the spine calcify, may also cause these symptoms.

Through a small incision made near the front of the neck (i.e., the anterior cervical spine), the surgeon:

    * Removes the intervertebral disc to access the compressed neural structures
    * Relieves the pressure by removing the source of the compression
    * Places a bone graft between the adjacent vertebrae, and
    * In some cases, implants a small metal plate to stabilize the spine while it heals.

Discectomy involves removing all or part of an intervertebral disc. The term discectomy is derived from the Latin words discus and -ectomy (removal). Spinal fusion involves placing bone graft between two or more opposing vertebrae to promote bone growth between the vertebral bodies.

Why is it done?
Pressure placed on neural structures, such as nerve roots or the spinal cord, by a herniated disc or bone spur may irritate these neural structures and cause: pain in the neck and/or arms; and lack of coordination, numbness or weakness in the arms, forearms or fingers. Pressure placed on the spinal cord as it passes through the neck can be serious since most the nerves for rest of the body (e.g., arms, chest, abdomen, legs) have to pass through the neck from the brain.

Incision:
The operation is performed in the back. A small incision is made to one side of the front of the neck.

Exposure:
After pulling aside the soft tissue - fat and muscle, the surgeon exposes the disc between the vertebrae.

Removal:
The intervertebral disc - and, in some cases, a portion of the bone around the nerve roots and/or spinal cord - is then removed to relieve the compressed neural structures and to give them additional space.

Material Placement:
Through a separate incision, a small section of bone is obtained from patient's  iliac crest  for use as a bone graft. The bone graft is placed in the disc space, where it helps the adjacent vertebrae to fuse.

Stabilization:
A metal plate may be implanted on the front of the cervical spine to increase the stability of the spine immediately after the operation. Surgeons use these implants to decrease the amount of time that the patient have to wear a cervical collar after surgery and it increases the chances of developing a solid fusion.

Recovery:
Surgeon will have a specific post-operative recovery/exercise plan to help the patient to return to normal life as soon as possible. The amount of time that the patient have to stay in the hospital will depend on this treatment plan.

Cost of treatment

For affordable spine care , contact Healthbase. Healthbase is an award-winning medical tourism facilitator connecting patients to low cost high quality healthcare abroad . Login or register to Healthbase for more information about spine procedures at the world-class Wooridul Spine Hospital (WSH) in South Korea , or at state-of-the-art international hospitals in India , Singapore and other medical tourism destinations .

Read testimonials of spine surgery patients who had their surgery overseas.