Anterior Cervical Discectomy and Fusion with Anterior Cervical Plate Fixation

Howard S. An, MD

The Morton International Endowed Chair, Professor, Orthopaedic Surgery

Rush University Medical Center

Dino Samartzis, PhD(C)

University of Hong Kong

Anterior cervical discectomy and fusion (ACDF) with anterior plate fixation is an established surgical treatment for patients with cervical disc disease. The video demonstrates the operative technique of an ACDF with anterior cervical plate fixation utilizing the PEAK polyaxial plate-screw system. A case is presented, detailing history, clinical manifestations, radiographic findings, operative course, and postoperative outcome.

Criteria for surgical approach, indications and potential complications of the operative procedure are discussed. Abundant graphic illustrations and operative footage are implemented. Detailed surgical technique and plate application principles are delineated. At 24 months postoperative, the patient was asymtpomatic, successful bone fusion was obtained, and no intrumentation complications were noted.