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The standard neck surgery — ACDF — works well. But it fuses the spine, which can cause problems at the levels above and below. Cervical disc replacement keeps the motion and the data shows fewer revision surgeries. Full video on YouTube — link in bio. #cervicaldiscreplacement #acdf #necksurgery #spinesurgery #neurosurgery
The standard neck surgery — ACDF — works well. But it fuses the spine, which can cause problems at the levels above and below. Cervical disc replacement keeps the motion and the data shows fewer revision surgeries. Full video on YouTube — link in bio. #cervicaldiscreplacement #acdf #necksurgery #spinesurgery #neurosurgery
👉In cervical disc problems, doctors often suggest two types of surgeries — ACDF and Artificial Disc Replacement. But what is the difference between them? Let’s understand in simple terms. ✅What is ACDF? First, let’s talk about ACDF – Anterior Cervical Discectomy and Fusion. It is a well-established and reliable surgery performed to relieve pressure on the nerves in the neck. • In this procedure, the damaged cervical disc is removed. • A bone graft or implant is placed in the space where the disc was removed. • Then the two vertebrae fuse together over time. This helps stabilize the spine, but movement at that particular level of the neck is lost after fusion. Sometimes, this can increase stress on the discs above and below, which may lead to a condition called Adjacent Segment Disease. ✅What is Artificial Disc Replacement? Now let’s talk about Artificial Disc Replacement (ADR). • In this surgery, the damaged disc is removed and replaced with an artificial disc. • The implant helps maintain the natural movement of the neck. • The biomechanics of the spine remain more natural. That’s why it is often considered a good option for younger and more active patients. ✅Key Differences • Movement: ADR preserves movement, while ACDF eliminates movement at that level. • Stress on nearby discs: ADR may place less stress on adjacent discs. • Recovery: Recovery after ADR is often slightly faster. • Patient selection: The right surgery depends on the patient’s condition—one option does not suit everyone. Modern spine surgeries like ACDF and Artificial Disc Replacement are now available in Indore, where you can receive treatment from experienced specialists. . . Dr. Pranaw Kumar, spine surgeon MS, DNB, MCh (Spine), FRCS (England) 📞 +91 9202444164 📍 Shalby Hospitals Port 5 & 6, R.S. Bhandari Road, Near Janjeerwala Square, Indore (M.P.) . . #CervicalDisc #SpineSurgery #ACDF #ArtificialDiscReplacement #SpineHealth #NeckPainRelief #SpineCare #Neurosurgery #SpineSpecialist #HealthySpine #BackPainRelief #SpineTreatment #NeckPain #MedicalAwareness #HealthEducation
👉In cervical disc problems, doctors often suggest two types of surgeries — ACDF and Artificial Disc Replacement. But what is the difference between them? Let’s understand in simple terms. ✅What is ACDF? First, let’s talk about ACDF – Anterior Cervical Discectomy and Fusion. It is a well-established and reliable surgery performed to relieve pressure on the nerves in the neck. • In this procedure, the damaged cervical disc is removed. • A bone graft or implant is placed in the space where the disc was removed. • Then the two vertebrae fuse together over time. This helps stabilize the spine, but movement at that particular level of the neck is lost after fusion. Sometimes, this can increase stress on the discs above and below, which may lead to a condition called Adjacent Segment Disease. ✅What is Artificial Disc Replacement? Now let’s talk about Artificial Disc Replacement (ADR). • In this surgery, the damaged disc is removed and replaced with an artificial disc. • The implant helps maintain the natural movement of the neck. • The biomechanics of the spine remain more natural. That’s why it is often considered a good option for younger and more active patients. ✅Key Differences • Movement: ADR preserves movement, while ACDF eliminates movement at that level. • Stress on nearby discs: ADR may place less stress on adjacent discs. • Recovery: Recovery after ADR is often slightly faster. • Patient selection: The right surgery depends on the patient’s condition—one option does not suit everyone. Modern spine surgeries like ACDF and Artificial Disc Replacement are now available in Indore, where you can receive treatment from experienced specialists. . . Dr. Pranaw Kumar, spine surgeon MS, DNB, MCh (Spine), FRCS (England) 📞 +91 9202444164 📍 Shalby Hospitals Port 5 & 6, R.S. Bhandari Road, Near Janjeerwala Square, Indore (M.P.) . . #CervicalDisc #SpineSurgery #ACDF #ArtificialDiscReplacement #SpineHealth #NeckPainRelief #SpineCare #Neurosurgery #SpineSpecialist #HealthySpine #BackPainRelief #SpineTreatment #NeckPain #MedicalAwareness #HealthEducation
Most patients with cervical disc disease are offered one option: Anterior Cervical Discectomy and Fusion (ACDF). This is the other one. Cervical disc replacement, CDR removes the damaged disc and replaces it with an artificial joint that preserves your natural neck motion. No locked segment. No permanent rotation restriction. No adjacent level absorbing load it wasn’t designed to handle. For the right candidate, this changes everything about what recovery looks like. 💬 If you’ve been told ACDF is your only option — it may not be. DM me the word NECK and I’ll tell you if you qualify. 🔖 Save this for your next consult. #cervicaldiscreplacement #cdr #acdf #motionpreservation #neckpain
Most patients with cervical disc disease are offered one option: Anterior Cervical Discectomy and Fusion (ACDF). This is the other one. Cervical disc replacement, CDR removes the damaged disc and replaces it with an artificial joint that preserves your natural neck motion. No locked segment. No permanent rotation restriction. No adjacent level absorbing load it wasn’t designed to handle. For the right candidate, this changes everything about what recovery looks like. 💬 If you’ve been told ACDF is your only option — it may not be. DM me the word NECK and I’ll tell you if you qualify. 🔖 Save this for your next consult. #cervicaldiscreplacement #cdr #acdf #motionpreservation #neckpain
Downside of cervical laminectomy/ foraminotomy without fusion: This 54 yo male patient underwent multi- level cervical laminectomy/ foraminotomy for foraminal stenosis at another institution. Unfortunately, he continued to have radicular pain on both upper extremities, left worse than right. He also was unable to hold his head up straight and was experiencing axial neck pain. Cervical spine imaging showed C3-6 severe degenerative disc disease, residual foraminal stenosis, central canal stenosis, and cervical kyphosis. I performed C3-6 ACDF/ restoration of normal cervical lordosis, followed by C3-T1 posterior fusion and decompression. He immediately had resolution of preoperative symptoms, was able to hold his head straighter. He had no new deficits and recovery was uneventful. ((( I have been in practice for almost 11 years now, I’ve never done single case of only cervical laminectomy/ foraminotomy WITHOUT fusion. For cervical foraminal stenosis, ACDF surgery is successful in 90-95% of the time without need for posterior decompression/fusion. I only consider posterior cervical decompression and fusion for foraminal stenosis in failed anterior decompression surgery, residual stenosis due to lateral osteophytes in the foramen ))). ((( In order to successfully decompress nerve root via posterior cervical approach, I think at least 1/3 of the facet will need to be removed to achieve that. I normally skeletonize the nerve root all the way anterior to formally decompress it. Doing just tiny laminotomy unlikely would result in good decompression. Doing decent laminectomy/ facetectomy for cervical foraminal stenosis likely will result in spinal instability/ kyphotic deformity. Supporting that with posterior fusion is a MUST in my opinion))). #neurosurgeon #columbiasc #palestine #spinalsurgery #lexingtonsc
Downside of cervical laminectomy/ foraminotomy without fusion: This 54 yo male patient underwent multi- level cervical laminectomy/ foraminotomy for foraminal stenosis at another institution. Unfortunately, he continued to have radicular pain on both upper extremities, left worse than right. He also was unable to hold his head up straight and was experiencing axial neck pain. Cervical spine imaging showed C3-6 severe degenerative disc disease, residual foraminal stenosis, central canal stenosis, and cervical kyphosis. I performed C3-6 ACDF/ restoration of normal cervical lordosis, followed by C3-T1 posterior fusion and decompression. He immediately had resolution of preoperative symptoms, was able to hold his head straighter. He had no new deficits and recovery was uneventful. ((( I have been in practice for almost 11 years now, I’ve never done single case of only cervical laminectomy/ foraminotomy WITHOUT fusion. For cervical foraminal stenosis, ACDF surgery is successful in 90-95% of the time without need for posterior decompression/fusion. I only consider posterior cervical decompression and fusion for foraminal stenosis in failed anterior decompression surgery, residual stenosis due to lateral osteophytes in the foramen ))). ((( In order to successfully decompress nerve root via posterior cervical approach, I think at least 1/3 of the facet will need to be removed to achieve that. I normally skeletonize the nerve root all the way anterior to formally decompress it. Doing just tiny laminotomy unlikely would result in good decompression. Doing decent laminectomy/ facetectomy for cervical foraminal stenosis likely will result in spinal instability/ kyphotic deformity. Supporting that with posterior fusion is a MUST in my opinion))). #neurosurgeon #columbiasc #palestine #spinalsurgery #lexingtonsc
Advanced cervical myelopathy: does surgery help with neurological recovery? This 72 yo male was admitted to the hospital due to progressive weakness on his upper and lower extremities. Patient has been bed-bound for over a month. His examination was consistent with advanced cervical myelopathy with 1-2/5 strength on his upper and lower extremities. Cervical spine MRI showed severe stenosis at C4-5 level mainly due to hyperteophy of yellow ligament, high signal in the spinal cord. Spine surgery on call recommended no surgery and I quote “ Not sure what surgery could offer…”. I saw him for second opinion. I offered 360 decompression and fusion. He had unremarkable anterior and posterior decompression and fusion. His weakness started to improve after the ACDF and rapidly improved after PCDF. Two weeks after surgery, his motor strength was at least 4/5 on his upper and lower extremities. ((( Surgery for advanced cervical myelopathy probably helps with neurological recovery, but outcome is not guaranteed. Long preoperative discussion with patients is extremely important to outline expected outcomes.))) ((( For advanced cervical myelopathy, I start anterior in majority of cases, even if compression is obviously posterior. Neurological recovery is way better than just going posterior. Restoring disc space height, stabilizing the spine anteriorly help reduce risk of neurological decline during/ after posterior decompression and fusion))).#doctor #columbiasc #palestine #ammanjo #spinalsurgery
Advanced cervical myelopathy: does surgery help with neurological recovery? This 72 yo male was admitted to the hospital due to progressive weakness on his upper and lower extremities. Patient has been bed-bound for over a month. His examination was consistent with advanced cervical myelopathy with 1-2/5 strength on his upper and lower extremities. Cervical spine MRI showed severe stenosis at C4-5 level mainly due to hyperteophy of yellow ligament, high signal in the spinal cord. Spine surgery on call recommended no surgery and I quote “ Not sure what surgery could offer…”. I saw him for second opinion. I offered 360 decompression and fusion. He had unremarkable anterior and posterior decompression and fusion. His weakness started to improve after the ACDF and rapidly improved after PCDF. Two weeks after surgery, his motor strength was at least 4/5 on his upper and lower extremities. ((( Surgery for advanced cervical myelopathy probably helps with neurological recovery, but outcome is not guaranteed. Long preoperative discussion with patients is extremely important to outline expected outcomes.))) ((( For advanced cervical myelopathy, I start anterior in majority of cases, even if compression is obviously posterior. Neurological recovery is way better than just going posterior. Restoring disc space height, stabilizing the spine anteriorly help reduce risk of neurological decline during/ after posterior decompression and fusion))).#doctor #columbiasc #palestine #ammanjo #spinalsurgery
Cervical disc replacement vs cervical fusion Which is the best option for you? #spinehealth #minimallyinvasivesurgery #backpainrelief #drlukemacyszyn #backpainrelief
Cervical disc replacement vs cervical fusion Which is the best option for you? #spinehealth #minimallyinvasivesurgery #backpainrelief #drlukemacyszyn #backpainrelief
Post-op day 1 after cervical disc replacement. Many patients expect to be flat in bed after spine surgery, but that’s not always necessary. Instead, he’s back in the office the next day talking about recovery after cervical artificial disc replacement. Artificial disc replacement is designed to treat the problem while preserving motion in the neck. But great spine surgery doesn’t start in the operating room. It starts with the right diagnosis and the right decision - and a patient-first approach to getting it done. “The mind that diagnoses you, and the hands that heal you.” Consultation information available at the link in bio. #motionpreservation #artificialdiscreplacement #spinesurgery #secondopinion #cdaspine
Post-op day 1 after cervical disc replacement. Many patients expect to be flat in bed after spine surgery, but that’s not always necessary. Instead, he’s back in the office the next day talking about recovery after cervical artificial disc replacement. Artificial disc replacement is designed to treat the problem while preserving motion in the neck. But great spine surgery doesn’t start in the operating room. It starts with the right diagnosis and the right decision - and a patient-first approach to getting it done. “The mind that diagnoses you, and the hands that heal you.” Consultation information available at the link in bio. #motionpreservation #artificialdiscreplacement #spinesurgery #secondopinion #cdaspine
How Cervical Discectomy Surgery Is Performed (3D Animation) This short 3D medical animation explains cervical discectomy (neck disc surgery), commonly done as ACDF (Anterior Cervical Discectomy and Fusion). It shows the basic idea: removing the damaged disc to relieve pressure on the spinal cord/nerve roots, and in many cases placing a cage/bone graft and a plate/screws to stabilize the spine. For education only (not medical advice). Please consult a spine surgeon/neurosurgeon/orthopedic specialist for diagnosis and treatment. #Shorts #CervicalDiscectomy #ACDF #SpineSurgery #Neurosurgery Orthopedic NeckPain HerniatedDisc 3DMedicalAnimation MedicalAnimation MedicalEducation cervical discectomy, cervical discectomy surgery, acdf, anterior cervical discectomy and fusion, neck disc surgery, cervical herniated disc,
How Cervical Discectomy Surgery Is Performed (3D Animation) This short 3D medical animation explains cervical discectomy (neck disc surgery), commonly done as ACDF (Anterior Cervical Discectomy and Fusion). It shows the basic idea: removing the damaged disc to relieve pressure on the spinal cord/nerve roots, and in many cases placing a cage/bone graft and a plate/screws to stabilize the spine. For education only (not medical advice). Please consult a spine surgeon/neurosurgeon/orthopedic specialist for diagnosis and treatment. #Shorts #CervicalDiscectomy #ACDF #SpineSurgery #Neurosurgery Orthopedic NeckPain HerniatedDisc 3DMedicalAnimation MedicalAnimation MedicalEducation cervical discectomy, cervical discectomy surgery, acdf, anterior cervical discectomy and fusion, neck disc surgery, cervical herniated disc,
As an endoscopic spine surgeon, I explain what it’s like to personally experience a cervical disc herniation with severe neck and arm pain. I then walk patients through an MRI showing a cervical disc herniation and explain how, in the right patient, a small outpatient endoscopic spine procedure can relieve pain, preserve motion, avoid a fusion or artificial disc, and reduce the risk of swallowing problems and adjacent segment disease. Hashtags: #EndoscopicSpineSurgery #CervicalDiscHerniation #MotionPreservingSpine #AvoidFusion #SpineSurgeonPerspective
As an endoscopic spine surgeon, I explain what it’s like to personally experience a cervical disc herniation with severe neck and arm pain. I then walk patients through an MRI showing a cervical disc herniation and explain how, in the right patient, a small outpatient endoscopic spine procedure can relieve pain, preserve motion, avoid a fusion or artificial disc, and reduce the risk of swallowing problems and adjacent segment disease. Hashtags: #EndoscopicSpineSurgery #CervicalDiscHerniation #MotionPreservingSpine #AvoidFusion #SpineSurgeonPerspective
Cervical spine fractures-dislocation: ALWAYS START ANTERIOR: This 73 yo male was involved in rollover car accident. He had weakness on his hands, severe weakness on his legs/ incomplete spinal cord injury ( ASIA B). His imaging showed fracture-dislocation at C6-7 level, severe stenosis, spinal cord injury. Imaging also showed multi-level cervical stenosis. Patient is morbidly obese, short neck with C6-7 disc at level of the clavicle. I performed urgent C6-7 anterior discectomy, reduction of fracture, C6-7 anterior fusion, followed by posterior cervical decompression and fusion. Postoperative imaging showed successful reduction of the fracture-dislocation and successful decompression. His hands weakness improved immediately after surgery, his ASIA score improved to (ASIA C) in less than 24h. He is still recovering… ((( Reducing cervical fracture-dislocation from ONLY posterior approach is extremely dangerous. Those fractures normally result in PLL injury/ buckling, traumatic disc herniations that impinge the spinal cord. Reducing fracture without anterior decompression could result in complete spinal cord injury))). ((( Anterior cervical discectomy and fusion for discs at or below level of clavicle is challenging. Working around the lung apices, major blood vessels requires meticulous dissection and knowledge of the anatomy))).#neurosurgeon #doctor #palestine #spinaltrauma #columbiasc
Cervical spine fractures-dislocation: ALWAYS START ANTERIOR: This 73 yo male was involved in rollover car accident. He had weakness on his hands, severe weakness on his legs/ incomplete spinal cord injury ( ASIA B). His imaging showed fracture-dislocation at C6-7 level, severe stenosis, spinal cord injury. Imaging also showed multi-level cervical stenosis. Patient is morbidly obese, short neck with C6-7 disc at level of the clavicle. I performed urgent C6-7 anterior discectomy, reduction of fracture, C6-7 anterior fusion, followed by posterior cervical decompression and fusion. Postoperative imaging showed successful reduction of the fracture-dislocation and successful decompression. His hands weakness improved immediately after surgery, his ASIA score improved to (ASIA C) in less than 24h. He is still recovering… ((( Reducing cervical fracture-dislocation from ONLY posterior approach is extremely dangerous. Those fractures normally result in PLL injury/ buckling, traumatic disc herniations that impinge the spinal cord. Reducing fracture without anterior decompression could result in complete spinal cord injury))). ((( Anterior cervical discectomy and fusion for discs at or below level of clavicle is challenging. Working around the lung apices, major blood vessels requires meticulous dissection and knowledge of the anatomy))).#neurosurgeon #doctor #palestine #spinaltrauma #columbiasc
Artificial cervical discs are designed to preserve motion — but motion doesn’t always mean nerve relief. If you still have neck and arm pain after a disc replacement, you may still have a pinched nerve. In this video, I show a CT myelogram revealing severe nerve compression even after an artificial disc was placed, and explain how endoscopic decompression can relieve pressure without removing the disc. This is the kind of revision surgery we specialize in at The Endoscopic Spine Institute of New York. Hashtags: #ArtificialDisc #CervicalSpineSurgery #PinchedNerve #EndoscopicSpineSurgery #SpineSurgeryNYC
Artificial cervical discs are designed to preserve motion — but motion doesn’t always mean nerve relief. If you still have neck and arm pain after a disc replacement, you may still have a pinched nerve. In this video, I show a CT myelogram revealing severe nerve compression even after an artificial disc was placed, and explain how endoscopic decompression can relieve pressure without removing the disc. This is the kind of revision surgery we specialize in at The Endoscopic Spine Institute of New York. Hashtags: #ArtificialDisc #CervicalSpineSurgery #PinchedNerve #EndoscopicSpineSurgery #SpineSurgeryNYC
This video is from my 10-week follow-up after ACDF with corpectomy surgery. What you’re seeing in the X-ray is a cage, plate, and four screws. During surgery my doctor removed my C6 vertebra and the discs above and below it so he could reach a hardened ligament behind the bone that was severely compressing my spinal cord. For years I was told my symptoms were probably anxiety or stress. Eventually I started questioning myself too. I pushed through the pain, the numbness, and the neurological symptoms until I couldn’t anymore. After nine months of fighting for answers, imaging finally showed what was actually happening. Severe cervical spinal cord compression. My surgeon told me he’s really glad we did the surgery when we did. He’s seen patients wait much longer and the outcomes can be far more devastating. Hearing that was incredibly validating… but it also brought up a lot of anger. Anger that I had been dismissed. Anger that I started gaslighting myself. Anger that I pushed through symptoms my body had been screaming about. I cried the whole drive home. Relief. Anger. Gratitude. Disappointment that I stopped trusting my instincts. Then I stopped at @sephora and bought makeup… which helped a little. All this to say: If you know something is wrong in your body, don’t stop advocating for yourself. Sometimes the truth ends with screws, scars, and titanium proof that you weren’t crazy. #MedicalGaslighting #ACDFCorpectomy #SpinalCordCompression #ChronicIllnessAwareness #Hypermobility
This video is from my 10-week follow-up after ACDF with corpectomy surgery. What you’re seeing in the X-ray is a cage, plate, and four screws. During surgery my doctor removed my C6 vertebra and the discs above and below it so he could reach a hardened ligament behind the bone that was severely compressing my spinal cord. For years I was told my symptoms were probably anxiety or stress. Eventually I started questioning myself too. I pushed through the pain, the numbness, and the neurological symptoms until I couldn’t anymore. After nine months of fighting for answers, imaging finally showed what was actually happening. Severe cervical spinal cord compression. My surgeon told me he’s really glad we did the surgery when we did. He’s seen patients wait much longer and the outcomes can be far more devastating. Hearing that was incredibly validating… but it also brought up a lot of anger. Anger that I had been dismissed. Anger that I started gaslighting myself. Anger that I pushed through symptoms my body had been screaming about. I cried the whole drive home. Relief. Anger. Gratitude. Disappointment that I stopped trusting my instincts. Then I stopped at @sephora and bought makeup… which helped a little. All this to say: If you know something is wrong in your body, don’t stop advocating for yourself. Sometimes the truth ends with screws, scars, and titanium proof that you weren’t crazy. #MedicalGaslighting #ACDFCorpectomy #SpinalCordCompression #ChronicIllnessAwareness #Hypermobility
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