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Cervical Fusion

Some of the symptoms that show up when an intervertebral disc herniates are neck and arm pain. The reasons for this can include a sudden injury or when over time, some of the disc's jelly-like center (the nucleus pulposus) bulges or ruptures through its tough, fibrous outer ring (the annulus fibrosus) and presses on a nerve.

Causes

When a disc ruptures in the cervical spine, it puts pressure on one or more nerve roots (often called nerve root compression) or on the spinal cord. This pressure causes symptoms in the neck, arms and even legs. Further pressure may be caused by rough edges of bone, called bone spurs, that naturally build up around some herniated discs.
BRIEF ABOUT THE PROCEDURE

This�neurosurgical procedure�is done to ease the pressure on one or more nerve roots or on the spinal cord. Two or more vertebrae are stabilized by fusing them together. This� fusion stops the vertebral motion and as a result, the pain is also relieved.�

The�surgeon�reaches the cervical spine through a small incision in the front of the neck. It usually, is within a skin fold line under the chin. The neck muscles are retracted and with the help of an operating microscope, the neurosurgeon removes the affected inter-vertebral disk. This process called as decompression, takes the pressure off the nerves or spine. The neurosurgeon then, replaces it with a bone graft which will fuse the vertebrae together over time.

A bone graft that allows the fusion of bone to happen is just a plug of bone. The bone graft is obtained from a bone bank, which collects, treats and stores bone. The bone comes from human donors who were recently deceased. This type of graft is referred to as allograft bone. The preformed bone plug is safe and will not be rejected by your body. It is acellular, meaning it contains no blood cells.

In some cases, the neurosurgeon may use instrumentation. This terminology refers to metal plates or pins that may be necessary to provide extra pressure and support to the neck and to make sure that the bones fuse adequately.

A cervical fusion procedure takes between 2 and 6 hours. The length of time depends upon the number of vertebrae involved, whether instrumentation is indicated and other factors.

Anterior cervical discectomy�is an operation performed on the upper spine to relieve pressure on one or more nerve roots, or on the spinal cord. The procedure is explained by the words anterior (front), cervical (neck) and�discectomy�(cutting out the disc).

In this operation, a small incision is made in the front of your neck and the cervical spine is reached. After the soft tissues of the neck are separated, the bone spurs and�intervertebral disc�are removed. The space left between the vertebrae may be left open or filled with a small piece of bone. Over a period of time, the vertebrae may fuse or join together.

A pre-formed bone graft may be acquired from a bone bank. Chances of rejection of the bone graft by your body is minimal since it is avascular (contains no blood cells). In certain cases or if the�surgeon�prefers, the bone graft may be removed from your own hip by making a second incision.

TIPS ON RECOVERY

Prior to undergoing an anterior cervical discectomy, it is required of you to approach the surgery with utmost confidence based on a thorough understanding of each process. This mindset ensures a successful recovery. The surgeon along with his team will support your body’s efforts to heal its damaged tissues. Full recovery will depend on you having a strong, positive attitude, setting small, realistic goals for improvement and working steadily to accomplish each goal.

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The other Orthopedic Procedures are:

HOSPITALS FOR CERVICAL FUSION

Few Major Hospitals for Cervical Fusion are:

DESTINATIONS FOR CERVICAL FUSION

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