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Anterior Cervical Corpectomy and Fusion/Instrumentation
Anterior cervical corpectomy and fusion (ACCF) is most commonly performed for cervical spondylosis, with symptoms of cervical radiculopathy, myelopathy, or a combination of both. Cervical spondylosis describes a wide spectrum of degenerative changes in the cervical spine that involve the intervertebral disk, vertebral body, uncovertebral joint, and facet joint. Cervical radiculopathy is described as nerve root compression that causes radiating pain from the neck into the upper extremity. Cervical nerve root compression occurs most commonly by herniation of intervertebral disk material, but it is also associated with loss of foraminal height due to chronic disk degeneration as well as osteophytes and facet hypertrophy.