These steps apply to fusion from the front of the neck:

• A head clamp or strap may be put on to align your neck

• The skin is cut and the muscles, blood vessels, trachea, and esophagus are pushed to one side to get to the vertebrae and disks.

• An X-ray is done to check that the right spinal level is being operated on.

• The disk is removed from between the vertebrae to be fused.

• Bone spurs are removed.

• A bone graft or intervertebral cage filled with bone is placed into the now-empty space between the vertebrae. Screws, plates, or a plate with screws are often placed in to ensure additional stability. In time, the graft and the bone around it will grow into a solid unit.

• To help keep your spine steady and promote fusion, extra support may be used

• A drain can be left in the wound for a day or two.

• The incision is closed with stitches or staples.

• A neck brace, rigid or soft, might be placed on your neck.