C5-C6 artificial disc replacement and otolith repositioning procedure?
Hello, Doctor.
At the end of last month, I underwent cervical spine surgery at the C5-C6 level due to bone spurs and a herniated disc, and I had an artificial disc implanted.
This month, I had a canalith repositioning procedure due to dizziness.
During the procedure, the physician mentioned that it would be better to wait three months post-surgery before performing it, but I insisted on proceeding, and I experienced some reduction in the severity and frequency of my symptoms.
Could this pose any risks? Thank you, Doctor.
Mr. Chen, 30~39 year old female. Ask Date: 2022/08/27
Dr. Lai Zhaokang reply Neurosurgery
Hello: If the procedure is performed gently and with a protective neck collar, it is still feasible to treat the condition of benign paroxysmal positional vertigo (BPPV) by professional medical staff.
Please continue to follow up! Wishing you health and safety.
By Dr.
Lai Chao-Kang, Department of Spine Surgery, Changhua Hospital.
Reply Date: 2022/08/27
More Info
After undergoing C5-C6 disc surgery and receiving an artificial disc implant, it is understandable to have concerns about the timing of subsequent medical procedures, such as the ear stone repositioning (also known as canalith repositioning maneuver). The risks associated with performing the ear stone repositioning shortly after neck surgery can be multifaceted and should be carefully considered.
Firstly, the primary concern is the potential for exacerbating any existing neck issues. The C5-C6 region is critical for neck mobility and stability, and any sudden movements or positions during the ear stone repositioning could strain the surgical site. This could lead to discomfort, increased pain, or even complications related to the surgical site, such as inflammation or delayed healing. It is crucial to ensure that the neck is stable and that any movements during the ear stone procedure do not compromise the integrity of the surgical repair.
Secondly, dizziness and vertigo can be influenced by various factors, including neck position and tension in the cervical spine. After neck surgery, patients may experience altered proprioception or changes in balance, which could complicate the effects of the ear stone repositioning. If the repositioning is performed while the neck is still healing, it may lead to a less effective outcome or even worsen the sensation of dizziness.
Moreover, the timing of the procedures is essential. Surgeons often recommend waiting a certain period after major surgeries before undergoing additional procedures to allow for adequate healing. In your case, the recommendation to wait three months before performing the ear stone repositioning was likely based on the need for your body to recover from the cervical surgery fully. By opting to proceed sooner, you may have increased the risk of complications, including potential setbacks in your recovery from the neck surgery.
In terms of the effectiveness of the ear stone repositioning, it is important to note that while some patients experience immediate relief, others may require multiple sessions or additional treatments to achieve the desired outcome. If the repositioning was performed too soon, it might not yield the expected results, and further interventions may be necessary.
To mitigate risks and ensure a safe recovery, it is advisable to follow up closely with both your orthopedic surgeon and the physician who performed the ear stone repositioning. They can monitor your symptoms, assess the healing process, and provide guidance on any necessary rehabilitation or adjustments to your activity level. Additionally, engaging in physical therapy focused on neck stability and balance may be beneficial in the recovery process.
In conclusion, while it is possible to perform ear stone repositioning shortly after C5-C6 disc surgery, it carries certain risks that should not be overlooked. Close monitoring and communication with your healthcare providers are essential to navigate your recovery safely and effectively. If you experience any worsening symptoms or new issues, do not hesitate to seek medical attention promptly.
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