When Is ACDF Surgery the Best Option for Cervical Myelopathy?

Cervical myelopathy is a serious condition that develops when the spinal cord becomes compressed in the neck. As pressure increases, you may notice changes such as hand clumsiness, difficulty walking, numbness, or overall coordination problems. Because the spinal cord doesn’t tolerate compression well, early treatment is critical. 

One procedure commonly recommended for meaningful decompression and stabilization is anterior cervical decompression and fusion (ACDF). At his New York City practice, Dr. Todd J. Albert, a board-certified orthopedic spine surgeon, uses ACDF to help protect spinal cord function and prevent long-term neurological decline.

Why Cervical Myelopathy Requires Prompt Care

Cervical myelopathy typically results from conditions such as degenerative disc disease, bone spurs, herniated discs, or thickened ligaments that narrow the spinal canal. Over time, this narrowing places direct pressure on the spinal cord, disrupting nerve signals that control balance, coordination, and strength. 

Because these symptoms often progress gradually, many people delay seeking care — but once nerve damage becomes severe, some changes may not fully reverse.

When ACDF Becomes the Most Appropriate Treatment

ACDF surgery is often recommended when imaging studies confirm spinal cord compression at one or more cervical levels and symptoms continue to worsen. During the procedure, Dr. Albert removes the damaged disc or offending structures from the front of the neck to decompress the spinal cord. A bone graft or implant is then placed to stabilize the spine and allow the vertebrae to fuse over time.

ACDF is considered the best option for cervical myelopathy in several situations, including:

• When there is disc herniation pressing on the spinal cord from the front
  
• When stability of the spine is compromised and requires reinforcement
  
• When symptoms such as balance difficulty, fine motor problems, or weakness are progressing
  
• When non-surgical treatments have not slowed neurological decline

By directly removing the source of compression, ACDF creates space for the spinal cord and prevents further injury.

How ACDF Helps Protect Long-Term Neurological Function

One of the key goals of ACDF is to halt the progression of spinal cord damage. Many people experience improvement in hand coordination, gait, and overall function after surgery, especially when treated early. Even in more advanced cases, ACDF may prevent worsening symptoms and help you maintain independence and daily mobility.

Schedule a Consultation in NYC

As a nationally recognized leader in cervical spine surgery, Dr. Albert provides advanced diagnostic insight and personalized surgical planning for patients facing spinal cord compression. To discuss whether ACDF is the safest and most effective option for your condition, schedule your consultation by contacting our NYC office at 212-606-1004 today.