For a singlelevel acdf a soft collar is used for 2 weeks. The hip is a ball and socket joint that occurs between the head of the femur ball and the acetabulum of the pelvis socket. Currently, we lack data for the success of either approach. Cervical spine surgery guide johns hopkins medicine. Exercises, both general and neckspecific, have been used extensively in clinical.
Acdf, work capacity or the cost benefits of rehabilitation post acdf, internetbased care for longstanding neck pain inclusive of cervical disc disease and postoperative rehabilitation. Anterior cervical discectomy and fusion acdf is a commonly performed surgical procedure. Some patients are able to return to work within a few days or a week after surgery. Others start physical therapy about four weeks after surgery, and continue for. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at bwh. However, here are some general rehabilitation guidelines with regards to activity and patient education.
A graft is inserted to fuse together the bones above and below the disc. Anterior cervical discectomy and fusion acdf is one of the most common. For 2 or more levels a hard collar is used for a period of 6 weeks. Fritz, pt, phd, atc4 postoperative rehabilitation following lumbar discectomy with quantification. Anterior cervical discectomy and fusion acdf mesfin a. The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. Its not intended as a substitute for clinical decision making. Postoperative instructions anterior cervical discectomy and fusion acdf kurt j.
Acdf surgery may be an option if physical therapy or medications fail to relieve your. Anterior cervical decompression and fusion acdf is an established method with which to. Either way, the best treatment is usually ice and rest. Its goal is to relieve pressure on the nerve roots or on the spinal cord andor treat a painful disc. Recovery time for anterior cervical discectomy and fusion acdf can vary widely. Depending on the level of the surger, yphysical therapy activities will vary. There is also a knowledge gap concerning the use of internetbased care for cervical disc disease. Surgical procedure performed to remove a herniated or degenerative disc in the cervical spine. Anterior cervical discectomy and fusion rehabilitation protocol phase i. This is what the patient can typically expect at physical therapy.
Introduction patients suffering from remaining disability after anterior cervical decompression and fusion acdf surgery for cervical disc disease may be prescribed physical activity ppa or neckspecific exercises nses. Ccollar per surgeon, wear at night for comfort sit in chair for. Physical therapy standards of care brigham and womens. Open access protocol physiotherapy after anterior cervical. Targeted exercises to strengthen and help the muscles that stabilize the back. Restrict any travelling in a car as much as possible for 6 weeks. Avoid preloading the spine with overhead arm movements too early in rehab. The intent of posting these standards of care and protocols is to provide clinicians and patients. Md follow up at 3 weeks post op to clear for pt 36 weeks postop. The vertebrae above and below the disc are then held in place with bone graft and. It is not meant to replace any personal conversations that you might wish to have with your physician or other member of your healthcare team. We will always communicate with your surgeon on your surgery and their preferred protocol.
However, there is substantial debate regarding the role of physical therapy following this. Anterior cervical discectomy and fusion acdf is a commonly. Anterior cervical discectomy and fusion physiopedia. Because of the long period of convalescence after a fusion like this, patients. Note level of assistance needed, angle of the head of bed, use of bedrails, and technique used. An incision is made in the throat area to reach and remove the disc. Exercises after your neck surgery memorial sloan kettering. Operative management of spinal disorders inpatient physical therapy management of the patient with a spinal disorder undergoing operative management. Anterior cervical discectomy decompression and fusion acdf.
Cervical spine surgery, acdf, physical therapy, practice patterns. Postoperative cervical fusion protocol brace you must wear your brace for 6 weeks. A trapezius strain can happen as the result of an acute injury or from longterm overuse. Spinal surgery rehabilitation protocol lumbar spine when developing a postoperative physical therapy plan, pathoanatomic abnormalities, surgical procedure, and patients psychophysical state should be considered. Cervical range of motion and isometrics to start only after 8 weeks. Home care instructions after cervical laminoplasty surgery. Anterior cervical discectomy and fusion acdf surgical technique an anterior cervical discectomy is the most common surgical procedure to treat damaged cervical discs. An introduction to this booklet is designed to inform you about the anterior cervical discectomy and fusion acdf surgical procedure. Postoperative rehabilitation following lumbar discectomy. Following your doctors instructions for when to begin these exercises is important for your recovery. It is protected by several layers of muscles and ligaments that provide support for the.
In this procedure, a surgeon removes the damaged disc, relieving pressure on pinched nerves, and fills empty disc space with bone. Doctors give unbiased, helpful information on indications, contraindications, benefits, and complications. All but 1 patient undergoing aida and 3 patients in the. Advanced orthopedics and sports medicine post operative spine. Others start physical therapy about four weeks after surgery, and continue for 2 or 3 months. Acdf, work capacity or the cost benefits of rehabilitation postacdf, internetbased care for longstanding neck pain inclusive of cervical disc disease and postoperative rehabilitation. Important information regarding covid19, more commonly referred to as the coronavirus disease. The following document is written in the context of you being admitted to the hospital prior to discharge. Physiotherapy after anterior cervical spine surgery for cervical disc. Physiotherapy after anterior cervical spine surgery for.
Most doctors wait about four weeks before starting physical therapy after an acdf. Anterior cervical discectomy and fusion acdf is a procedure used to treat neck problems such as cervical radiculopathy, disc herniations, fractures, and spinal instability. Acdf physical therapy protocol answers on healthtap. No bending or twisting wear brace when out of bed log roll no sitting for 15 min lifting limited per m. Bed mobility, transfers, dondoffing collar, diaphragmatic breathing.
The road to recovery after spine surgery 3 this book will. Tmi posterior cervical laminectomy and fusion protocol. Because of the long period of convalescence after a fusion like this, patients usually have compromised stamina, so treatment may include exercise to improve. Prepare you for surgery explain what to expect during and after surgery guide you through the recovery process the most important thing to remember is the sooner you return to being active the sooner you will be on the road to recovery. After the disc is removed, the vertebrae above and below the disc space. Walk with assistive device 23 times a day and progress distances patient education.
Anterior cervical discectomy and fusion acdf is a surgery to remove a herniated or degenerative disc in the neck. Discectomy postop protocol penrose physical therapy. The high proportion of patients with residual problems after acdf suggests an unmet need for evidencebased rehabilitation designed to improve future care. Monitor for deltoid weaknessc5 palsy see rehab notes. Nopain no gain axiom usually does not apply to the spine focus on low load high repetitions to improve endurance rather than high load low repetition for strength. Anterior cervical discectomy diskektuhmee and fusion acdf is a surgery for treating damaged or worn discs in your neck. Postoperative instructions anterior cervical discectomy. Patient instructions anterior cervical discectomy and.
Lumbar laminectomy physical therapy prescription the intent of this protocol is to provide guidelines for rehab. The latest version of adobe acrobat reader is required to view and print pdf files, and it is available here. This is a sample surgical protocol that we typically use. In this case, you will be given a soft collar for use when sleeping. Anterior cervical discectomydecompression and fusion acdf. Manage pain and swellingmodalities prn expect patients to experience more pain than anterior fusions or single level fusions. Pdf physical therapy following anterior cervical discectomy and. Protection phaseimmediate motion 0 6 weeks postop 03 weeks postop. Cervical fusion physical therapy prescription the intent of this protocol is to provide guidelines for rehab. Acdf surgery anterior cervical discectomy and fusion.
1442 154 1511 399 811 1378 1153 1219 11 730 1359 1571 789 781 998 1461 671 1197 1130 477 413 1380 289 110 686 1249 1433 437 1189