I almost one month post acdf. My incision has looked great and never hurt at all until a few days ago. I ran a low grade fever for a couple of days and then my incision started to throb. It still looked fine, closed, no drainage, no redness. Until yesterday. I took my brace off and the inside was covered with blood. One small end of the incision had opened up. Today, although it still looks raw, the oozing has all but stopped, but I have started to swell under my neck. My surgeon is out of town and three hours away. I called his office and they said to clean it, put a bandage on and just watch it for the next few days. Doesn't it seem like a month is a long time for an incision to start opening back up? Anyone have anything like this? A CT scan a few days after surgery showed a seroma with a suggestion that it be followed by MRI to check for infection. My surgeon said it wasn't necessary as seromas were to be expected after that type of surgery. Thanks for any input.