Clinical Reference Only: Protocols are cataloged from third-party sources and provided for reference only. Treating clinicians must verify current accuracy and follow the operative report and surgeon's specific instructions.

Cervical ACDF Rehabilitation Protocols

3 Cervical ACDF rehabilitation protocols from 3 institutions, published 2014–2022. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.

Compare by institution

InstitutionWeight-BearingKey Restrictions
Advanced Orthopedics and Sports Medicine (Houston Spine… WBAT from POD 1; walking to ½ mile daily or stationary bike 15-30 min Anterior fusion: avoid extension; Posterior fusion: avoid flexion; avoid passive cervical stretching; limit…
Ohio State University Wexner Medical Center — Anterior… Ambulatory; walking program from POD 1 (goal 30 min twice daily); home PT at discharge as… No NSAIDs (timing per surgeon); no tobacco; no driving on narcotics; +/- C-collar per surgeon (osteoporosis…
Ortho Illinois — Cervical Fusion (Anterior and Posterior) WBAT from POD 1; gait with AD if necessary; walking to 30 min or ½ mile daily Anterior fusion: avoid extension; Posterior fusion: avoid flexion; no lifting >5 lbs x 4 wks; no overhead…

All 3 Cervical ACDF protocols

Cervical ACDF — Post-Op Cervical Fusion
Advanced Orthopedics and Sports Medicine (Houston Spine Surgeon)
Dr. Jeffrey H. Oppenheimer MD
Cervical ACDF — Anterior Cervical Discectomy and Fusion (ACDF)
Ohio State University Wexner Medical Center
Jordan Hudson DPT, Sean Meers DPT; Reviewed by Andrew Grossbach MD…
Cervical ACDF — Cervical Fusion (Anterior and Posterior)
Ortho Illinois
Dr. Issada Thongtrangan MD; Dr. Brian Braaksma MD · October 2014