ACDF Surgery Procedure | ACDF Fusion

Our spine team is proud to offer ACDF surgery, also known as anterior cervical discectomy and fusion surgery. Our experienced, fellowship-trained spine surgeons specialize in neck and back conditions and provide the comprehensive care needed to relieve pain and restore function.

In select cases, we also offer cervical disc arthroplasty (artificial disc replacement) as an alternative to fusion. Both procedures have clear benefits, but the best approach depends on each patient’s unique condition. Our highly skilled spine specialists have the expertise and clinical skill to determine the right procedure for you.

ACDF surgery is offered in the Washington D.C., Baltimore, Maryland, and Virginia areas.

Our providers

Location: Change location Enter your location

Spine Surgery

Show Next 8 of

Show All Spine Surgery

Frequently asked questions

What is the recovery time for neck surgery at C5–C7?

The most commonly treated levels in the cervical spine are C5, C6, and C7, and many patients experience significant relief following surgery at these levels. Recovery time can vary depending on the procedure and the individual, but most patients can expect a gradual return to normal activities over several weeks to a few months. While C5–C7 surgeries are among the most common, our spine surgeons have advanced training and experience treating cervical disc conditions at every level—from C1 through C7, including more complex cases. No matter where your condition occurs, our team will guide you through recovery with a personalized plan designed for the best possible outcome.
What activities should you avoid after ACDF surgery?

After ACDF surgery, patients are generally advised to avoid high-impact and high-strain activities such as long-distance running, heavy weightlifting, and contact sports.

Many patients are able to return to their normal routines over time, and in some cases, even resume more demanding activities. The goal of surgery is to relieve pain and restore function so you can safely get back to your everyday life. Your surgeon will provide personalized guidance on when and how to resume specific activities based on your progress.
Will I lose neck mobility after ACDF surgery?

With ACDF surgery, it’s normal to lose a small amount of motion at the level of the spine that is fused—typically about 5 degrees per level. However, many patients feel they can move their necks better after surgery because their pain has been relieved. In other words, even if there is a slight reduction in motion, improved comfort often makes everyday movement feel easier.

For some patients, cervical disc arthroplasty (disc replacement) may be an alternative that preserves more natural motion. However, this option is not right for everyone—especially if the spine needs added stability, which fusion provides. Our spine specialists carefully evaluate each patient to determine the best procedure for both mobility and long-term success.
Do you need physical therapy after ACDF surgery?

Yes, physical therapy is an important part of recovery after ACDF surgery. Most patients have reduced strength and mobility before surgery due to pain and limited activity. Physical therapy helps rebuild strength, improve flexibility, and restore normal movement patterns.

A structured rehabilitation program can help you return to your daily activities more quickly and safely. Your care team will guide you through a personalized therapy plan to support a full and lasting recovery.