It will probably depend on your ratios / hight distribution. If you have long torso, you're out, if you have long legs and short torso you migt fit after all. Does the manufacturer not state the torlo length for the seat? That really is the important measurement and total hight can only approximate that somewhat.
When the seat is too small, I'd think it will mainly pe a priblem in the shoulder section - that will not be at your shoulder section. Putting a bend, where your body does not want to bend. Your Loungs not free to inflate fully, the edge pressing into your back, you not sitting flush / hovering a bit, losing lots of support in sideways stability and for pushing on the pedals.
(I experience it with my girlfriends bike.) As you are close to the right size, but judged by the wrong measurement, it might just work out or be quite bad. And seat cushion or not can also give or take the last needed inch, so take it into consideration, if you do want to use a cushion.