Anterior cervical discectomy and fusion (ACDF) surgery addresses neck pain and neurological issues by removing a damaged disc and fusing the adjacent vertebrae, aiming to relieve pressure on nerves and stabilize the cervical spine.  What it is: ACDF is a surgical procedure that involves removing a damaged or herniated disc in the cervical spine (neck) through an anterior (front) approach.  Discectomy: The "discectomy" part refers to the removal of the disc, which can be causing nerve or spinal cord compression.  Fusion: The "fusion" part refers to the process of joining the vertebrae together to stabilize the spine and prevent excessive movement. When it's used: Herniated discs: When a disc bulges or ruptures, potentially compressing nerves or the spinal cord causing pain and tingling sensation in hands and legs and sometimes patient experience difficulty in walking due to myelopathy. Degenerative disc disease: When discs dry out and shrink with age, leading to pain and instability. Spinal stenosis: Narrowing of the spinal canal, which can put pressure on the spinal cord. Cervical radiculopathy or myelopathy: Nerve root or spinal cord compression, respectively. Dr. Nitish Agarwal, Spine surgeon, 202, 2nd floor, Winners window complex, Behind vaishali restaurant, Fc road, Shivaji nagar, pune