Laminoplasty Surgery

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Laminoplasty Spine
Surgery in India
Laminoplasty is a surgical procedure carried out usually in the
vertebrae of the neck region to decompress the spinal cord in
case of narrowing of the spinal canal in this region. The
procedure is usually performed in the neck region but can also be
performed in the thoracic (mid back region) or the lumbar
region(low back region).It is also called Open Door
Laminoplasty as the back of the vertebrae is made to swing
open like a door (hinged at one end and open at the other end).
Laminoplasty aims at decompressing the spinal cord and the
spinal nerves,
by hinging open the vertebrae posteriorly. The lamina (flat arch
on the backside of the vertebral body) is cut open on one side
and grooved on the other side to keep it hinged to the main body
of the vertebra. This creates more room for the spinal cord and
nerves. Any compressing structure like a herniated or fragmented
disc, or bony spurs, thickened ligament etc are also removed in
this procedure. The advantage of this procedure is that the
stability of the spine is maintained as the amount of bone and
muscle tissue that is removed is very less, and any fusion surgery
of the spine is avoided.
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What type of patients need this surgery?
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Any patient with the complaint of pain numbness and tingling
in one or both upper extremities, and /or disturbance in
walking, or loss of control in bowel and bladder for a
considerable period of time despite conventional treatment like
rest, physical therapy and medications are recommended for
this type of procedure.
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How is the surgery
performed?
his surgery is performed by sedating the patient under
general anesthesia and making him lie on his stomach. The
head is kept slightly bent with the help of Mayfield clamp to
straighten the skin folds on the neck.A midline incision is
made on the back of the neck corresponding to the affected
spinal segment. The skin is cut open and the muscles are
separated to view the involved vertebrae.

The lamina are cut through their thickness longitudinally on
one side and grooved on the other side to keep it hinged to
the vertebral body. The posterior part of the vertebra is
swung open like a door. Small wedges made of bone are
placed in the opened space of the door. The door of the
vertebrae swings shut, and the wedges stop it from closing all
the way. The spinal cord and the nerve roots rest comfortably
behind the door. Since this increases the space in the spinal
canal, it decompresses the spinal cord with immediate relief
of symptoms. Any presence of herniated disc, thickened
ligament or facet joint and osteophytes are identified and
removed.
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Post Operative Recovery an Rehabilitation
The person is usually up and about on the same day after surgery and is discharged
in one or two days later. The Physical therapist advises certain exercises of the neck
to maintain the flexibility and strength of the neck muscles before the patient is
discharged. Certain ergonomics advice regarding neck movements is also given. The
patient is able to return to his daily activities wearing a soft cervical collar within a
few days. The collar is discarded after some time.
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reports to - indiacarez@gmail.com For more details visit -www.IndiaCarez.com or call us
at +91 98 9999 3637
Indiacarez.com
Get Free opinion
Get a No Obligation Expert Medical Opinion from Top Doctors in India Email your medical
reports to - indiacarez@gmail.com For more details visit -www.IndiaCarez.com or call us
at +91 98 9999 3637
Indiacarez.com
Get Free opinion
Get a No Obligation Expert Medical Opinion from Top Doctors in India Email your medical
reports to - indiacarez@gmail.com For more details visit -www.IndiaCarez.com or call us
at +91 98 9999 3637