<s>[INST] I have been diagnosed with moderate to severe central canal narrowing at C5 to C6 and C6 to C7. ALso, there is bilateral paracentral small disc herniation withi the C5 to C6 along with facet anthropthy with moderate to severe narrowing of the central canal. There is bilateral moderate to severe neuroforaminal encroachment in the the same C5 to C6. The Neuro DR wants to do a ACDF ftom C5 to C6 and C6 to C7 ... Is this a correct or best option treatment? [/INST] Hi, Thank you for posting your query. I have gone through your MRI cervical spine reports. They are suggestive of moderate to severe canal narrowing with compression of nerves and spinal cord. In this case, ACDF is one of the good therapeutic options. So, I agree with your neuro doctor. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist </s>