Increasing number of cervical spine procedures highlights a question of proper aftercare and postoperative rehabilitation. However, the evidence justifying any physiotherapeutical program following the anterior cervical discectomy and fusion is in fact very weak. The authors suggest that thorough postoperative rehabilitation is advisable to help patients resume daily activities and to prevent acceleration of degenerative changes in adjacent segments. The aim of rehabilitation is a restoration of postural stability in cervical spine region.The programme consists of nuchal muscles isometric strengthening and training of those dysfuntive muscles that participate at the pathologic motion stereotype. All the excersices are performed in active sitting position with increased intensity. Very important part of the rehabilitation is, of course, patient’s motivation. However the rigid cervical collar has been a great addition to the successful management of cervical spine after the anterior cervical fusion in the past, contemporary methods of internal stabilization exclude its use.As its prolonged wearmay cause muscle atrophy and cervical spine sagital ballance derangement, authors would go as far as to say that its excessive use may be even deleterious.

        Key words: anterior cervical fusion, internal fixation, bracing, postoperative rehabilitation