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Home Care Instructions after Cervical Spinal Fusion (Anterior and Posterior) Surgery (4499)

Home Care Instructions after Cervical Spinal Fusion (Anterior and Posterior) Surgery (4499) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Orthopedics


Home Care Instructions after Cervical Spinal Fusion
(Anterior & Posterior) Surgery

Surgical Date: _____________________________________________________

Doctor: _____________________________________________________

This handout will review the care you need to follow once you are home. If you
have any questions or concerns, please ask your nurse or doctor. Our staff is here
to help you. If you have questions after you are at home, please call the numbers at
the end of this handout.

For Patients with a Hard Collar
For the first 6 weeks, you must wear the hard collar at all times even when you
shower and sleep. When you return for your first clinic visit you may be given a
soft collar to be worn in place of the hard collar.

Bathing with a Hard Collar
You may shower 5 days after surgery with the hard collar on and padding
removed. To remove and apply padding, follow the instructions shown to you at
the time your brace was fitted. When finished bathing, remove the collar and place
a clean dressing over the incision if needed. Put the hard collar back on with clean
and dry pads. No tub baths for 2 weeks.

For Patients with a Soft Collar
For the first 2 weeks, use the collar for comfort as needed or when out in public or
driving. The soft collar does not need to be worn during bathing.

For all Patients
No sports except for walking and in some cases, using an exercise bike. No impact
aerobics. Walking is your form of aerobic exercise until your doctor tells you
otherwise. Slowly return to your normal routine. There are no limits on stair
climbing or sitting. Use your comfort level as a guide as to the length of time you
are able to sit or climb stairs. Most patients find they need to change positions
after 30 minutes of sitting.


We strongly suggest you quit smoking, avoid tobacco products, and second hand
smoke. Smoking will delay bone healing. It is best not to smoke for at least 4-6
months after surgery.

Compression Stockings (TEDS)
To improve blood flow and decrease the risk of getting a blood clot, you need to
wear elastic stockings (TEDS) until you are walking and back to your normal
activities. Remove the TEDS 2 times each day for one hour at a time. You should
sleep with them on. You may wash the TEDS with soap and water. Let air dry.

If you have had an anterior cervical fusion, it is common to have a sore throat or
hoarse voice for a few weeks after surgery. You may also feel a “catching”
sensation in your throat. You may find lozenges and eating soft foods helps.

If you have any trouble breathing, cannot swallow, or have any major voice
changes, call the Spine Clinic right away and ask to speak with the nurse.
After clinic hours, call the doctor on-call. See phone numbers listed.

If you have a hard collar, sleep on your back or side with the collar on for the first
6 weeks. If you have a soft collar, wear the collar when sleeping for comfort the
first 2 weeks. Place a cushion under the back or side of your neck for comfort.

 No driving for the first 2 weeks or while wearing a hard collar.
 No driving while taking narcotic pain medicine.
 No driving until your reflexes return to normal.
 No lifting more than 10 lbs (about 1 gallon of milk) for the first 6 weeks.

Sexual Activity
After 2 weeks, you may resume sexual activity, if comfortable.


Incision Care

Anterior Cervical Fusion
The incision is closed with sutures under the skin and covered with steri-strips
(small pieces of tape) on the skin. These will slowly peel off as they get wet when
you shower. You may gently remove them after 10 days.

Posterior Cervical Fusion
The incision is closed with staples or sutures and will be removed in 2 weeks at the
Spine Clinic. Keep a clean dressing over the incision.
Proper care of the incision helps to prevent infection.
 Keep the incision clean and dry.
 Change the dressing every other day or as needed.
 Check the incision daily to be sure it is clean and dry.
 Check for redness, swelling or drainage. Some redness and swelling is
 A small amount of clear or slightly blood tinged drainage from the incision
is normal.
 Do not wash directly over the incision. Wash around the incision gently
with soap and water and then let air dry.
 Do not use any creams, lotions, ointments, or alcohol near or on the

Take your temperature twice a day for 7 days.

Pain Management
During the healing phase, it is common to have some pain, numbness, tingling, and
weakness in your neck or arms. If you have an increase in pain once you return
home, try these options to decrease the pain.

 Ice the neck for 15-20 minutes each hour for 4 hours. Do not put the ice
directly on the skin. Use a pre-made ice pack or put ice in a plastic bag then
wrap the ice pack or bag in a towel before you use it.
 Do not sit more than 15 to 30 minutes at a time for the next 48 hours.
 Reduce your activity for the next 48 hours (i.e. walking).


You may also need to use pain medicine. If needed, take it as prescribed.

 Narcotics: Do not increase the prescribed dose without checking with your
doctor or nurse.
 Tylenol® (acetaminophen): You may take up to 3000 milligrams per day.
Percocet® and Vicodin® also contain Tylenol®. If you have liver disease, do
not take Tylenol® without checking with your doctor first.
 Do not take Non-Steroidal Anti-Inflammatory drugs (NSAIDs) (i.e.,
Ibuprofen, Motrin , Advil , Aleve , etc) for 3 months. These medicines
delay bone healing.

If you are not sure about a medicine, please call the Spine Clinic.

The combination of surgery, narcotic pain medicine, decreased activity level, and a
change in your diet, can play a role in getting constipated. After surgery, it is
common to have a problem with your bowels. Please see Health Facts for You
Constipation from Opioids (Narcotics) found in the Post-Operative
Orthopedic Spine Surgery Packet.

When to Call the Doctor
 Increased pain, swelling, or redness in or around the incision site
 Sudden increase in pain or pain not relieved by medicine
 An increase in the amount of drainage, change in the color of drainage, or
any odor from the incision; Be ready to describe what the drainage looks
like, how it smells, and how much there is.
 A temperature above 100.5ºF or 38.1°C for 24 hours
 A “new” chest pain or “new” problem with breathing
 Redness, warmth, or tenderness in the back of the calf of your leg(s)
 A persistent headache that is different when sitting or lying

Return to Work
When you return to work will depend on your recovery and the type of work you
do. Discuss with your doctor before you return to work.


The Spine Clinic staff will be working with you to balance pain medicine, pain
management, and activity. The goal is to taper you off of your pain medicine by 6
weeks after surgery. If you need a refill on your pain medicine, call the Spine
Clinic Please call when you have at least a 3 to 4 day supply left of your
medicine. Be ready to give the name, address, and phone number of the drugstore
where you want to pick up a refill.

Future Clinic Visits
The nursing staff will help you schedule your first clinic visit in 2 weeks if you
have staples or sutures. For all other patients, your first clinic visit will be
scheduled for 6 weeks. All other clinic visits will be as needed.

Phone Numbers

If you have questions or concerns, please call the Spine Clinic.
Monday through Friday between 8:00 AM and 5:00 PM at (608) 265-3207

Nights and Weekends, call the paging operator at (608) 262-0486. If you live out
of the area, call 1(800) 323-8942. Ask for the “orthopedic resident on call”. Leave
your name and phone number with the area code. The doctor will call you back.

Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 4/2015 University of Wisconsin Hospitals &
Clinics Authority, All Rights Reserved. Produced by the Department of Nursing. HF#4499