Life with a Fused Cervical Disc: Adjustments and Expectations

Cervical spinal fusion can have truly transformative outcomes. For those suffering from severe neck pain, spinal instability, or nerve compression, who have tried other remedies without relief, spinal fusion surgery can provide a new lease on life. 

Although the prospect of any kind of spinal surgery, whether a cervical spinal fusion, lumbar spinal fusion, or other, the data is clear: long-term outcomes are overwhelmingly positive. For example, a prospective cohort study with >10-year follow-up on cervical spinal fusion revealed that 85% to 95% of patients reported satisfaction with their surgery outcomes. They reported significant reductions in pain and improved quality of life over the long term.

In this blog, we’ll explore what this kind of neck fusion surgery entails, typical recovery timelines, and what life looks like after the surgery. We’ll also address common concerns, such as "when can I travel after cervical spinal fusion surgery?", and more. 

What is Cervical Spinal Fusion?

A cervical spinal fusion procedure permanently connects (fuses) two or more vertebrae in the cervical spine in order to relieve pressure on the spinal cord and spinal nerves, alleviate neck pain, and improve overall neck stability.

Who Is This Surgery For?

This surgery most often recommended for individuals with:

• Persistent and severe neck pain that doesn’t respond to nonsurgical treatments, such as physical therapy or cortisone/steroid injections.
• Conditions such as herniated discs, degenerative disc disease, or spinal fractures affecting the cervical spinal canal.
• Nerve-related symptoms like tingling, weakness, or numbness in the arms.

Note: Cervical spinal fusion surgery may not be suitable for patients with certain medical histories or those with specific underlying health conditions. A thorough evaluation by our surgeons is required to determine candidacy.

The Cervical Spinal Fusion Procedure

At Ortho Westmount, our surgeons most commonly perform Anterior Cervical Discectomy and Fusion (ACDF). This minimally invasive procedure involves making a small incision at the front of the neck to access and remove the damaged or herniated disc. Bone graft material, or a cage, is then inserted to stabilize the spine, allowing the vertebrae to naturally fuse over time. 

Recovery from Cervical Spinal Fusion

The road to recovery requires patience and commitment, but with the right approach, most patients regain functionality and enjoy significant pain relief. Here’s a general timeline:

First Week After Surgery

• You may wear a neck brace to support the spine and limit movement.
• Pain and inflammation are managed with prescribed pain medicines.
• Light activities like walking are encouraged to promote circulation and prevent blood clots.

Weeks 2-6

• Follow-up appointments will monitor bone growth and the healing of affected bones.
• Gradual reintroduction of light tasks, though heavy lifting and twisting motions are to be avoided.
• Physical therapy may be started to improve range of motion and strength.

Months 2-6

• Most patients can resume work and daily activities.
• Certain exercises are introduced to build flexibility and support the spine curves.
• Driving or traveling may be permitted, depending on healing progress. 

When Can I Travel After Cervical Spinal Fusion Surgery​?

Traveling after cervical spinal fusion surgery depends on your individual healing progress and your surgeon’s advice. Short car trips are often allowed within the first month, provided you feel comfortable and wear a neck brace if prescribed. Longer trips, particularly by plane, may require clearance from your surgeon to ensure your neck is stable and you can manage prolonged sitting or limited movement. Always prioritize breaks to stretch and maintain circulation during any journey.

Potential Challenges

ACDF is a safe and effective surgery, but like any complex spine surgery procedure, it comes with some risks. At Ortho Westmount, we take every step to keep you safe and reduce complications. Possible risks include segment degeneration (degeneration of the adjacent vertebrae/disks), temporary trouble swallowing or voice changes, and rarer problems, such as C5 palsy (primarily manifested as shoulder weakness), failure to fuse, or infection of the surgical site. 

Why Choose Ortho Westmount?

Life after cervical spinal fusion can be fulfilling and pain-free. While adjustments are part of the process, the relief from chronic pain and the restoration of mobility make the journey worthwhile. Our team doesn’t just perform surgeries—we help patients thrive afterward. 

If you’re considering cervical spinal fusion or another type of back pain surgery, reach out to us to schedule a consultation and take the first step toward reclaiming your life.

Learn more about our back pain services.

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References: 

• https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zx4109
• https://www.umms.org/ummc/health-services/orthopedics/services/spine/patient-guides/after-cervical-spine-surgery
• https://my.clevelandclinic.org/health/treatments/25168-spinal-fusion
• https://www.mayoclinic.org/tests-procedures/spinal-fusion/multimedia/img-20156133
• https://pubmed.ncbi.nlm.nih.gov/28604488/