What is a common postoperative rehabilitation focus after ACDF?

• A. Early gentle ROM, progressive strengthening, and gradual return to activity while avoiding heavy lifting early
• B. Heavy lifting
• C. Prolonged immobilization
• D. No activity for 12 weeks

Answer: (D)

Postoperative rehab after ACDF centers on restoring motion and function while protecting the fusion. A common and effective focus is starting with gentle neck range of motion and activating surrounding muscles, then gradually increasing activity and strength while avoiding heavy lifting in the early healing period. This approach helps prevent stiffness and muscle atrophy, supports proper postural mechanics, and progressively loads the neck to promote stable, functional recovery.

Prolonged immobilization is not typical because it often leads to stiffness, deconditioning, and slower return to daily activities. While a cervical collar or short period of protection may be used briefly, staying inactive for an extended time (like 12 weeks) would hinder recovery and does not align with standard rehab goals. Early, controlled movement and progressive strengthening better support a successful outcome.