Laminoplasty is a type of surgery used to treat compression of the spinal cord in your neck. Spinal cord compression can cause symptoms such as pain and stiffness in your neck, numbness in your limbs, and difficulty walking. The main goal of lumbar surgery is to prevent these types of symptoms from getting worse.
Surgeons perform cervical vertebroplasty by loosening and repositioning a portion of bony vertebrae called the lamina.
Laminoplasty was first described in the medical literature in 1972 by researchers in Japan. Since then, many laminoplasty techniques have been developed. The details of each technique vary, but they all involve repositioning the plate and holding it in place with a metal plate and screws.
Read on to learn more about laminectomy, including what happens during the procedure, who is a good candidate, and what recovery looks like.
Laminoplasty is used to decompress the upper part of the spinal cord that runs through your neck. Compression of this part of the spinal cord can lead to cervical myelopathy. Cervical myelopathy can cause symptoms such as:
- Numbness or tingling in your extremities
- Pain and stiffness in your neck
- limb weakness
- balance problems
- Clumsiness and poor hand/finger coordination
- Difficulty handling small objects such as coins and writing instruments
Spinal cord compression can be caused by various conditions such as:
A doctor or health care professional may recommend a laminoplasty if nonsurgical treatment options fail to relieve symptoms.
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- He suffers from compression in the spinal cord due to multiple vertebrae in the neck
- He still has a natural curve in his spine
- He has minimal pain around his neck
Before surgery, it is important to tell your surgeon about any medications or supplements you are taking. Some medications, such as aspirin, can interfere with the blood’s ability to clot. Your surgeon may tell you to temporarily stop taking these medications.
Laminoplasty is performed in a hospital under general anaesthesia, which means that you will be asleep during the procedure. You will likely need to stay in the hospital for at least two days, so it is important to bring anything you need during that time.
You will be asked to stop eating and drinking before the surgery. In most cases, you will need to at least stop eating 6 hours in advance and stop drinking at least 2 hours before surgery.
Right before the procedure, you will need to shave the hair at the back of your head. Electrodes may also be placed on your body so that your nerve activity can be monitored during surgery. Placing these electrodes is painless.
You’ll be given a general anesthetic and possibly antibiotics through an intravenous (IV) line before surgery begins. Once you are unconscious, a breathing tube will be placed in your throat to help you breathe during the procedure. Your shoulders and head will be held in place, and you will be placed on your stomach.
Your surgeon will likely explain what will happen during surgery, but here’s a summary of what this procedure usually entails.
- The surgeon will make an incision in the middle of your neck and use a special device to remove skin, fat and muscle from the bones.
- They will then make a groove in the plate on one side of your spine using a special drill bit. This will create a hinge.
- They will then cut all the way through the plate on the other side of your vertebra with a drill.
- Then, they will lift the side of the plate with the entire cut and use the groove created on the other side as a hinge.
- A metal plate will be attached with screws to hold the repositioned portion of your vertebra in place.
- You may have a drain to control the bleeding. It is usually removed the next day.
- Once the procedure is complete, the surgeon will close your incisions with stitches or staples. A topical antibacterial powder called vancomycin may be used to reduce the risk of infection.
The procedure usually takes about two hours, but in some cases, it may take longer.
The amount of time you spend in the hospital depends on several factors, such as your general health, the extent of the procedure, and any potential complications. Usually, you will be able to go home one to three days after surgery.
You may feel severe neck pain right after the surgery, but this should improve over the next few months. You will likely be given a neck collar to prevent excessive movement during recovery. As a result, you will have limited movement in your neck for several weeks.
During the recovery period, you will need to avoid strenuous exercise for about 6 weeks. While you’re recovering, you’ll also need to avoid excessive bending, lifting, or twisting.
Your doctor will provide you with a specific list of activities and movements to avoid while recovering from surgery. Getting plenty of rest and eating a healthy diet can also help support your body’s natural healing process.
To ensure proper healing, it is important to follow all of your doctor’s instructions carefully.
In general, laminoplasty surgery has a lower risk of serious complications.
Potential risks can include:
- Chronic neck pain
- numbness or weakness
- Spinal fluid leak
- heavy bleeding
- Surgical site injury
- Allergic reaction to the drug
in 2022 Studies reviewIn this study, researchers found that laminoplasty can achieve better results than another surgical procedure called a laminectomy to treat cervical myelopathy. But the researchers note that more high-quality studies are needed to confirm these findings.
- Your age
- Neurological findings before the operation
- the duration of your illness
- Whether you have any other cervical spine injuries
Several surgical techniques have been developed to manage spinal cord compression.
Surgeons are currently using
Besides laminotomy surgery, other back-end procedures include:
- Laminoplasty with fusion: After laminotomy, the affected vertebrae are fused into place. You will not be able to move these vertebrae after surgery.
- Laminectomy: A laminectomy is the removal of all or part of the lamina. Compared to laminectomy, laminectomy allows it
More downloadsBetter repetition of natural movement.
Front-end procedures include:
- Anterior cervical discectomy and fusion (ACDF): ACDF is used to treat herniated discs and other neck diseases. It involves making an incision in the front of your neck to expose your spine, remove the damaged disc, and fuse your vertebrae above and below the removed disc.
- Cervical disc replacement: Cervical disc replacement involves removing the damaged disc and inserting an artificial prosthesis.
Laminoplasty is a surgical procedure that involves loosening a part of the spinal bone called the lamina to relieve symptoms of spinal cord compression.
It is generally considered a safe procedure, but as with most surgeries, it comes with some risks. Research suggests that the risk is the same or less than that of other surgeries used to treat spinal cord compression.
Your doctor can help you decide if laminotomy is the best surgical option for you. They can also give you an idea of what to expect before, during, and after the procedure.
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