AORN J. 2021 Mar;113(3):237-251. doi: 10.1002/aorn.13329.
Cervical disc disease includes chronic disc degeneration, stenosis, spondylosis, and disc herniation; providers initially treat these conditions conservatively through symptomatic care. When conservative measures fail, surgery may be indicated. It is important to explore all the surgical options available and the risks and benefits of each procedure. An anterior cervical discectomy and fusion (ACDF) is a procedure involving the removal of disc material to achieve neural tissue decompression and placement of a bone graft or interbody implant and a cervical plate and screws to stabilize the spinal column at one or more vertebral levels. This article briefly reviews the anatomy of the spine and treatment options for cervical disc disease; presents an in-depth review of the ACDF procedure, including the expected perioperative course and care considerations; and concludes with a case report of a 37-year-old woman who underwent an ACDF at the C5-C6 and C6-C7 vertebral levels of the spine.
颈椎间盘疾病包括慢性椎间盘退变、狭窄、骨关节炎和椎间盘突出；医疗提供者最初通过对症治疗来保守治疗这些疾病。当保守治疗措施失败时，可能需要手术。重要的是要探索所有可用的手术选择以及每种手术的风险和益处。前路颈椎间盘切除术和融合术（ACDF）是一种涉及切除椎间盘物质以实现神经组织减压并放置骨移植物或椎间植入物以及颈椎板和螺钉以稳定一个或多个椎体水平的脊柱的手术。本文简要回顾了脊柱解剖结构和颈椎间盘疾病的治疗选择；深入介绍了 ACDF 手术，包括预期的围手术期过程和护理注意事项；并以一名 37 岁女性在 C5-C6 和 C6-C7 颈椎水平接受 ACDF 的病例报告结束。
