Cervical Disc Replacement: Costs, Vaccination, and Recovery Tips - Neurosurgery

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Cervical spine surgery


I am scheduled for artificial disc replacement surgery next week, but I found limited information online.
I have a few questions:
1) Out-of-pocket expenses: I currently know that the artificial disc itself is an out-of-pocket expense, but are there any other items? The doctor did not provide specific details during the consultation, only mentioning the artificial disc.
In a previous abdominal surgery, I had out-of-pocket expenses for hemostatic agents and adhesion prevention.
Will there be similar expenses for cervical artificial disc replacement? What other out-of-pocket expenses do doctors typically recommend?
2) COVID-19 vaccination post-surgery: Last week, I logged into the 1922 platform to make an appointment and found out that I am in the 9th category.
After undergoing artificial disc replacement surgery, is there a recommended waiting period before I can receive the vaccine?
3) Post-operative massage/yoga classes: Before the pandemic, I purchased several massage vouchers, not anticipating that I would need to undergo artificial disc replacement so soon.
Unfortunately, due to the pandemic, massage shops have been closed, leaving me with unused vouchers.
How long after surgery is it advisable to have a massage, specifically for the cervical area? Regarding yoga, I had heard that yoga can help correct misalignments, so I purchased a six-month course.
However, due to the pandemic, the classes were suspended, and now I need to have surgery before completing them.
How long after surgery should I wait before resuming yoga classes?

Sunny, 40~49 year old female. Ask Date: 2021/07/16

Dr. Lai Zhaokang reply Neurosurgery


Hello: 1.
There are both self-pay and National Health Insurance options for cervical spine items, and you can also include what you mentioned.
It is recommended that you discuss this with your actual surgeon, as other doctors may not be aware of what has been discussed between you.
2.
Vaccination should not interfere with cervical spine surgery.
3.
Regarding exercise, it is still advisable to consult with your actual surgeon.
Since you have decided to have this surgery with this doctor, you should have a thorough discussion with their team before the procedure.
Wishing you all the best.

Reply Date: 2021/07/16

More Info


Cervical disc replacement surgery is a significant procedure aimed at alleviating pain and restoring function in patients suffering from cervical disc degeneration or herniation. As you prepare for your surgery, it's essential to understand the various aspects surrounding the procedure, including costs, vaccination guidelines, and recovery tips.


1. Out-of-Pocket Expenses
While the artificial disc itself is a significant out-of-pocket expense, there may be additional costs associated with the surgery. These can include:
- Anesthesia Fees: Depending on the type of anesthesia used, there may be separate charges.

- Surgical Facility Fees: The cost of using the operating room and recovery area can vary.

- Pre-operative Testing: Tests such as MRIs, X-rays, or blood work may not be fully covered by insurance.

- Post-operative Care: Follow-up visits, physical therapy, and any necessary medications can add to your expenses.

- Additional Supplies: Items like surgical drains, dressings, or braces may also incur costs.

It's advisable to discuss these potential expenses with your healthcare provider and insurance company to get a clearer picture of what to expect financially.


2. COVID-19 Vaccination Post-Surgery
Regarding vaccination after your cervical disc replacement, it is generally recommended to wait until you have fully recovered from surgery before receiving any vaccinations, including the COVID-19 vaccine. This is to ensure that your body can focus on healing without the added stress of a vaccine.
Typically, a waiting period of at least 4 to 6 weeks post-surgery is suggested, but this can vary based on individual recovery and your surgeon's advice. Always consult your healthcare provider for personalized recommendations based on your health status and recovery progress.


3. Post-operative Activities: Massage and Yoga
After cervical disc replacement surgery, the timeline for resuming activities like massage and yoga can vary based on individual recovery and the surgeon's recommendations. Here are some general guidelines:
- Massage: It is usually advisable to wait at least 4 to 6 weeks post-surgery before resuming massage therapy. This allows your incision to heal properly and reduces the risk of complications. Once cleared by your surgeon, gentle massage can help alleviate tension and promote relaxation.

- Yoga: Similar to massage, you should wait about 6 to 8 weeks before returning to yoga. Initially, focus on gentle stretching and avoid poses that put strain on your neck or require significant bending. Always consult with your healthcare provider or a physical therapist before resuming any physical activity to ensure it is safe for your specific condition.


Recovery Tips
- Follow Post-operative Instructions: Adhere strictly to your surgeon's post-operative care instructions, including medication management, activity restrictions, and follow-up appointments.

- Physical Therapy: Engage in physical therapy as recommended. A physical therapist can guide you through exercises that promote healing and strengthen your neck muscles.

- Rest and Hydration: Ensure you get plenty of rest and stay hydrated to support your recovery.

- Monitor Symptoms: Keep an eye on any unusual symptoms, such as increased pain, swelling, or signs of infection, and report them to your healthcare provider promptly.

In conclusion, preparing for cervical disc replacement surgery involves understanding the financial implications, vaccination timing, and post-operative care. By staying informed and following your healthcare provider's recommendations, you can enhance your recovery and return to your regular activities safely. Always feel free to ask your surgeon any questions you may have to ensure you are fully prepared for your surgery and recovery process.

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