A pinched nerve is a condition in which a spinal nerve experiences pressure caused by various factors, such as bulging intervertebral discs, narrowing of the spinal canal, or vertebral displacement. This condition does not only occur in the lower back but also frequently affects the neck or cervical spine.
A pinched nerve in the neck can cause a wide range of symptoms, including neck pain that radiates to the shoulders and arms, tingling or numbness in the hands, muscle weakness, and limited movement that may interfere with daily activities and reduce quality of life.
At Mandaya Royal Puri Hospital, treatment for cervical pinched nerves can be performed using the Anterior Cervical Discectomy and Fusion (ACDF) method. This procedure aims to reduce pressure on the nerves and/or spinal cord in the neck area.
Through the ACDF procedure, symptoms such as pain, tingling, and impaired neck movement can be significantly reduced. As a result, patients are expected to return to their daily activities more comfortably and safely.
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Understanding ACDF and Its Surgical Procedure
ACDF is a surgical procedure performed through the front of the neck or throat area. This procedure is designed to treat various cervical spine disorders by removing the source of pressure on the nerves or spinal cord.
In addition to relieving pain caused by pinched nerves, ACDF surgery can also be used to treat other conditions, such as inflammation or degenerative changes in the cervical joints that cause severe pain and limited mobility.
In general, the stages of the ACDF procedure include:
- On the day of surgery, the patient is given general anesthesia by an anesthesiologist so that they are fully asleep and feel no pain during the procedure. The surgeon then makes a small incision approximately 2–5 cm long on the front of the neck, usually horizontally on one side.
- The airway (trachea) and esophagus are gently moved aside to provide access to the cervical spine. The surgeon then removes the problematic intervertebral disc and any bone spurs that are compressing the nerves. In certain conditions, part of the front portion of the cervical vertebra may also be removed as medically indicated.
- The next stage is the fusion process, in which two or more cervical vertebrae are fused together to improve stability. In the space where the disc has been removed, a bone graft or a hollow metal cage filled with bone fragments—generally sourced from a bone bank—is placed.
- To maintain stability during the bone fusion process, metal plates and screws are installed on the front of the cervical spine. Once all structures are properly positioned, the incision is closed, and the ACDF procedure is completed.
Benefits of ACDF Surgery
The main benefit of ACDF surgery is its ability to relieve pain and disturbing nerve symptoms, such as neck pain, radiating arm pain, tingling, and muscle weakness. By reducing pressure on the nerves, patients can move more freely and carry out daily activities more comfortably.
In addition, many patients report a reduced need for pain medication after undergoing ACDF surgery. In some cases, patients no longer require pain medication at all once they have passed the recovery period.
ACDF Surgery at Mandaya Royal Puri Hospital Handled by Experienced Neurosurgeons
Mandaya Royal Puri Hospital is supported by modern medical facilities and a team of experienced neurosurgeons who are skilled in treating cervical pinched nerve cases using various advanced techniques.
1. dr. Christian Permana, Sp.BS, FTB, FINSS, FICS
dr. Christian Permana, Sp.BS, FTB, FINSS, FICS is an experienced neurosurgeon in treating pinched nerves using minimally invasive approaches. He is proficient in various modern procedures aimed at reducing pain and accelerating patient recovery.
In addition to PLDD (Percutaneous Laser Disc Decompression), dr. Christian Permana is also experienced in performing PELD (Percutaneous Endoscopic Lumbar Discectomy), PSLD, ACDF, and microdiscectomy, tailored to each patient’s medical condition.
He also has expertise in treating spinal tumors and spinal infections, including spinal tuberculosis (bone TB) and spondylodiscitis, using a comprehensive, technology-based medical approach.
dr. Christian Permana, Sp.BS, FTB, FINSS, FICS is available at Mandaya Royal Puri Hospital on:
- Tuesday: 13.00 – 17.00 WIB
- Thursday: 13.00 – 17.00 WIB
- Friday: 13.00 – 17.00 WIB
- Saturday: 13.00 – 17.00 WIB.
2. dr. Christian Ariono, Sp.BS, FICS
dr. Christian Ariono, Sp.BS, FICS is a neurosurgeon known for his expertise in treating pinched nerve cases. He is experienced in performing arthrospine surgery with minimal incisions of approximately 1.5 cm, allowing for reduced tissue damage.
With this minimally invasive technique, many patients with pinched nerves have achieved favorable outcomes, including reduced postoperative pain, faster recovery, and an earlier return to daily activities compared to conventional surgical methods.
dr. Christian Ariono, Sp.BS, FICS is available at Mandaya Royal Puri Hospital on:
- Monday: 08.00 – 16.00 WIB
- Tuesday: 08.00 – 12.00 WIB
- Wednesday: 08.00 – 16.00 WIB
- Thursday: 08.00 – 16.00 WIB
- Friday: 08.00 – 16.00 WIB
- Saturday: 08.00 – 16.00 WIB.
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