When Is It Safe to Fly After Cervical Spine Surgery?

While the appropriate time to resume air travel after surgery depends on several individual factors, here are some general guidelines:

Short-Distance Flights

For short-distance flights, patients may receive clearance as early as two weeks post-surgery if healing progresses well without complications. These shorter journeys pose fewer risks due to limited time in the air and easier access to medical care if needed.

Long-Distance Travel

Longer flights require more careful consideration. Medical professionals generally recommend waiting at least six weeks before attempting longer flights. This extended waiting period allows for better healing and reduces risks associated with difficulties with mobility.

Individual factors and the complexity of your surgery will impact these timelines. For example, flying after a posterior cervical fusion may require a longer waiting period than a procedure like artificial disc replacement or an ACDF, as these tend to be bigger surgeries which require longer recovery times. Your surgeon will assess your unique situation and provide personalized recommendations to ensure your safety and comfort when traveling.

Always consult with your treating surgeon for more personalized advice before making travel plans, as they understand your specific case and recovery progress.

Risks Associated with Flying Post-Surgery

Being aware of common problems after spinal surgery can help you prepare for a safer travel experience. Several key risks require careful consideration:

• Deep Vein Thrombosis (DVT): DVT poses a significant concern during air travel. The combination of recent surgery and prolonged immobility in flight increases blood clot risk, particularly during the first four to six weeks after surgery. These clots can form in the legs and potentially travel to other parts of the body, creating serious complications.
• Cabin Pressure: Changes in cabin pressure at high altitudes can possibly exacerbate post-surgical symptoms. You might experience increased swelling or discomfort in your neck area as the cabin pressure fluctuates during ascent and descent. These pressure changes can also affect how your body responds to the recent surgical intervention.
• Infection Risks: Surgical wounds need adequate healing time.  If you are far away from your surgeon and you develop a wound healing problem or a wound infection, it may be more difficult to manage effectively.

Precautions to Take When Flying After Surgery

Taking proper precautions helps ensure a safer and more comfortable journey:

• Consult Your Surgeon: Before flying, obtain explicit medical clearance from your surgeon. They’ll evaluate your healing progress and provide specific guidelines based on your recovery status. This clearance helps ensure you’re sufficiently healed for the physical demands of air travel.
• Maintain Inflight Mobility: During the flight, try to move around and stay active as much as you comfortably can. Regular movement helps prevent stiffness and reduces blood clot risks. Simple exercises like ankle rotations, gentle neck stretches (if approved by your surgeon), and periodic walks up and down the aisle can improve circulation.
• Stay Hydrated : Drink plenty of water throughout your journey while avoiding alcohol and caffeine, which can contribute to dehydration at higher altitudes.
• Consider Compression Garments: Wearing compression stockings, especially on longer flights, can help with circulation in your legs.
• Manage Your Medications: Keep your medications in your carry-on luggage and stick to your regular dosing schedule. Bring copies of important medical documentation, including surgical clearance and medication lists, in case questions arise during travel.

Authors of this Blog: The Ridgewood Spine Team