Posterior cervical decompression and fusion is a procedure that is used to remove pressure from the spinal cord by removing the lamina, the roof of the spinal canal, and joining the vertebrae together in a fixed position. Fixation is achieved with titanium screws and rods.
Surgeons perform PCDF to treat a wide array of conditions, including cervical myelopathy and/or radiculopathy, spinal instability, cervical stenosis, spinal cord compression, and some spinal tumors.
Posterior cervical decompression and fusion is most commonly utilized to remove pressure from the spinal cord in patients with normal cervical curvature who have compression from the back of the spinal cord or where decompression at the level of the intervertebral discs alone would be inadequate.
During surgery the patient is face-down with their head fixated to the operating table to prevent spinal cord injury. Oftentimes some hair must be removed from the upper neck. The incision is made in the midline in the back of the neck.
After exposing the spine screws are placed at the designated levels on both sides of the spine. Bone overlying the spinal canal is removed, directly decompressing the spinal cord and nerve roots. Rods are inserted to connect the screws and fixate the spine in the appropriate position, and then bone graft consisting of the patient’s own lamina and cadaver bone is placed on the vertebrae to promote fusion.
PCDF recovery is typically longer than ACDF surgery but is well tolerated by most patients.
Most patients achieve full recovery in two to three months, but patients with more extensive surgery may not feel their best until six months after surgery. We encourage patients to sleep with the neck supported in a neutral position. Most patients do not require cervical collars for support after surgery.
Schedule a consultation with Dr. Ditty to discuss your surgical options. Dr. Ditty and his team will guide you through the steps you need to take for pre-surgical preparation and post-surgical recovery, including nonsurgical lifestyle changes to prevent further pain or complications.
Call (239) 337-2003 today to schedule a consultation or learn more.