ACDF vs ADR

Posted , 5 users are following.

What qualifies one to have an ACDF or an ADR? I read that an artificial disk replacement preserves neck motion and has many benefits compared to a ACDF, but most traditional spine surgeries for the neck is an ACDF and a preferred method for surgery, why is that? Help!

0 likes, 7 replies

Report / Delete

7 Replies

  • Posted

    Hi,

    I should think the only difference is probably the costs involved between the two methods. The fusion rather than replacement is also probably "tried and tested".

    The favorite catchphrase for cost cutting. I find it hard to believe that one is for nhs and the other (adr) is for private.

    Mike.

    Report / Delete Reply
  • Posted

    ive had a ACDF from C4/C7 the reason why I didn't have a ADR is because i had degeneration at multi levels and it would've have kept my neck stable hope this helps

    Report / Delete Reply
  • Posted

    Cannot give an honest opinion about your concern, yet hope someone else can give you good feedback. This forum is such a helpful way to know of others' situation, I would love to write a short story (in hopes of helping someone else) about what I have endured. I am hesitant about my needed neck surgery considering the magnitude of my spine surgeries since 2010. Good luck to you always.

    Report / Delete Reply
  • Posted

    I think "what qualifies"  is the state of the vertebra and the capability of the specialist doing the job. I have a friend who had the fusion bit and it seems to be ok but does load the next joints either side as they have to now do the movement bit. I had disc replacement and the specialist didn't even mention fusion. He simply said the discs were worn out and he would replace them.   I had previous doctors and experts telling me it couldn't be done and there were various reasons not to go near the neck joints but when i found the right man he said, this needs doing, how soon do you want it.

    I thin the main reason not to do it is the lack of people capable of doing it.

    North Tees hospital Nr Stockton on Tees for NHS and Nuffield Tees for private. The neck team work at both places doing the same jobs.

    Report / Delete Reply
    • Posted

      Appreciate the reply. How are you doing after your disc replacement in terms of symptoms? Hope you are doing well. One major drawback is the different metal allergies that I have so getting the right instrumentation from a disc replacement will be difficult since they are mixed with several different metal alloys.

      I'd hate to lose mobility after my fusion even though I heard a one-level had better mobility than a two-level. I did hear about the stress on the adjacent levels that occurs with a fusion compared to a disc replacement. My surgeon didn't even discuss disc replacement with me ever so I guess he doesn't qualify or prefers the old fusion method. Which disc device did you and your surgeon go with?

      Report / Delete Reply
    • Posted

      My surgery was very complicated. I may have already stated that in 2010 I had L1-2, L2-3, L4-5, L5-S1, and L2-3.  One year later, he removed all (prematurely) and my spine collasped. In 2012, a different surgeon explained the magnitude which incl. breaking my spine only to realign me with steel, cobalt, titianium, concrete, and the kitchen sinkrolleyes With that said, if this is your first, you will do great. I just had an unfortunate episode where my body fooled the 1st surgeon, by appearing strong when I was brittle.  You should not lose mobility. Wit all I had done, I can bend with ease. Only problem I have in that regard is I cannot turn my head to look back any farther than my side shoulder. You will do great. When is your sx??
      Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up