Laminoplasty is a surgical treatment aimed to relieve the pain caused by nerve compression. The lamina is repositioned, aiming to give more space to spinal cord and roots. Due to wear and tear over the years, parts of the spine and soft tissues (ligaments) may thicken and compress the nerves within the spinal canal. This condition is called spinal stenosis. Degeneration also causes bone spurs to develop. When these spurs press into the spinal canal, they may compress the nerves.
This surgery is commonly performed on the cervical spine.
Purpose
This procedure is done to relieve the narrowing of spinal canals over multiple levels, due to thickening of spinal ligaments, bony outgrowths, and calcifications compressing the spinal cord, resulting in numbness, pain and weakness of limbs, as well as difficulty in walking
A suitable incision is done over the area that needs to be operated. The muscles surrounding the spine are moved aside, to allow a clear view and access to the surgical site. A groove is cut on one side of the vertebra with a specific instrument, aiming to create a hinge leaving the other side of the lamina completely cut. With the tip of the spinous is removed and the lamina is then lifted and rotated laterally. This procedure is also known as the “open door” procedure. This gives more space around the nerves and hence relives the pressure immediately. The lamina is then reattached with sutures and small wedges of bones in a suitable position. Suitable metal plates will be used to stabilize the door. The spinal cord and the nerve roots rest comfortably behind the door.
Before the operation, you may be advised blood tests and x-rays. Depending on your medical problems if any (Diabetes Mellitus, Hypertension, Ischemic heart disease etc) and Neurology presentation, the outcome of the surgery will be discussed by your surgeon.
After Surgery
A neck collar may be advised to be worn for one month after surgery. The average stay in the hospital will be for a week. On a normal case stitches are removed on the 10th day.
Apart form the risk of general anesthesia, there are chances of weakness of limbs, hoarseness of voice, wound infection and bleeding. Stiffness of the neck, displacement of the implant or instability of the spine are other problems that can occur at a later stage.
The other Neurology Procedures are:
Few Major Hospitals for Laminoplasty are:
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