Term
| Cervical disk disease has two primary surgical treatments. What are they? |
|
Definition
1) Decompression of nerve roots and/or spinal cord with posterior cervical laminectomy and diskectomy.
2) Anterior cervical diskectomy and fusion. |
|
|
Term
| What is an extruded disk? |
|
Definition
|
|
Term
| Is the anterior/posterior or anterior approach especially useful in an ACDF? |
|
Definition
| Anterior approach is most useful. The anterior/posterior is done in the most extreme cases |
|
|
Term
| What is the advantage to the anterior approach in the ACDF? |
|
Definition
| direct approach to the disk space without the removal of the lamina |
|
|
Term
| What does ACDF stand for? |
|
Definition
| Anterior Cervical Diskectomy and Fusion |
|
|
Term
| After the disk is removed what is the space filled in with? |
|
Definition
| Cancellous and cortical bone for the fusion |
|
|
Term
| Were does the cancellous and cortical bone in a fusion usually come from? |
|
Definition
|
|
Term
| In a ACDF the normal curvature of the neck tends to do what? |
|
Definition
|
|
Term
| Can radicular symptoms occur in an ACDF? |
|
Definition
| Yes but usually after cervical discomfort and months or years later |
|
|
Term
| Where is the incision made in an ACDF? |
|
Definition
| Over the cervical disk space at the medial border of the sternocleidomastiod muscle |
|
|
Term
| What is formed in the foramen for cervical discomfort in an ACDF? |
|
Definition
|
|
Term
| What does radiographs show in an ACDF? |
|
Definition
| Narrowing in the disk space, indicating extruded disk or degenerating disk. It will also show osteophytes. |
|
|
Term
| What is the position for an ACDF? |
|
Definition
| Supine with shoulder roll, head turned away from affected side and hip elevated for graft |
|
|
Term
| What is the wound classification for an ACDF? |
|
Definition
|
|
Term
| What is done to ensure the bone graft is in the proper placement? |
|
Definition
|
|
