I have a dear friend who had ACDF surgery last Monday. During surgery, his Carotid Artery was compressed while the surgeon moved his esophagus out of the way to perform the procedure. It caused a major Ischemic stroke, and 4 days later he had another stoke that effected his brain stem. He is now on life support. He had this surgery at a very reputable hospital with a world class surgeon (same one who performed surgery on my L4/L5 last year. although I still have deficits). The patient is 51, very healthy and active, a good family man and was struggling with the pain, numbness, weakness and pain med addiction that many of us have dealt with. I felt compelled to write this because like so many of us who are dealing with back issues, there is no right or wrong decision when deciding treatment regiments, and there is no guarantee of the outcome. My sincere best wishes and prayers for those of us dealing with the challenges and uncertainty of our health concerns.