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Cervical Laminoplasty in Bhubaneswar

Cervical Laminoplasty

Cervical Laminoplasty in Bhubaneswar

Cervical Laminoplasty is a non-fusion decompression procedure used to treat cervical spondylitis myelopathy, in which the spinal cord becomes compressed. It is also indicated in patients with multiple stenosis who have minimal to no axial neck pain. Cervical Laminoplasty is of two types: Direct decompression and Indirect decompression. Patients who have kyphotic alignment, instability, or neck pain should not undergo this procedure. 

Cervical Laminoplasty preserves cervical movement while reducing pressure on the spinal cord and nerves. In order to create more room for the spinal cord, a hinged door in the vertebrae is created and then propped open during this treatment. This process is advantageous as it avoids various complications and preserves the motion. Follow the advice and instructions of the doctor completely for enhanced recovery and to improve your quality of life.

Manipal Hospitals, Bhubaneswar, has an experienced team of spine care specialists, offering advanced surgeries to correct and treat various spinal issues. Our team of doctors provides comprehensive care for Cervical Laminoplasty in Bhubaneswar till you recover fully, improving your quality of life.

FAQ's

Cervical Laminoplasty is recommended to treat the following conditions:

  • Spinal stenosis: Age-related changes like arthritis can lead to the narrowing of the spinal canal, called spinal stenosis.
  • Cervical spondylotic myelopathy: Degenerative changes in the cervical spine lead to compression in the spinal cord.
  • Ossification of the posterior longitudinal ligament (OPLL): A condition in which the ligament that runs along the back of the spinal cord ossifies and thickens.
  • Herniated discs: Discs in the cervical spine can herniate, compressing nerves or the spinal cord.
     

The main benefits of Cervical Laminoplasty include:

  • Relief from symptoms such as neck and arm pain, numbness, and weakness
  • Preservation of neck mobility compared to more invasive procedures such as Laminectomy or Fusion
  • Decompression of the spinal cord and nerve roots, reducing the risk of further injury or impairment
     

Before undergoing Cervical Laminoplasty, you may need to make the following preparations: 

  • You will need to undergo preoperative imaging and tests to assess the condition of your spine.
  • Discuss medications with your healthcare provider, as you may need to stop certain medications before surgery.
  • Arrange for transportation and assistance after the procedure, as you may be under the effect of anaesthesia.
  • You may also be provided with specific instructions from your healthcare provider, such as fasting before surgery.
     

Small incisions are made in the back of the neck to begin the operation. The surgeon then cuts through the lamina on one side and hinges it open on the other side to make more room for the spinal canal. By using small plates or sutures, the opened lamina is held in one place to maintain the space created. This procedure is usually performed under general anaesthesia to relieve your pain. After the surgery, the incisions are closed, and the patient returns to recovery.
 

The recovery after the Cervical Laminoplasty surgery will depend on the individual patient’s health and the extent of the surgery. You may need to stay in the hospital for one to three days and may be given medications for pain management. Wearing a cervical collar for support and limiting neck movement during healing is essential after the surgery. Post-surgery rehabilitation may involve undergoing physical therapy to help restore neck movement and strength. Follow all the instructions given by your healthcare provider for a faster recovery. You will also need to avoid heavy lifting or strenuous exercise for some time.
 

This procedure involves relaxing the lamina to relieve symptoms and is generally considered a safe procedure, but just like other surgeries, this procedure also comes with risks. These include infection, bleeding, or injury to surrounding structures; nerve damage or spinal cord injury; difficulty swallowing or breathing; and risks associated with anaesthesia. There could be long-term complications, though rare, but the possible ones are loss of spinal alignment, kyphosis, lordosis, and recurrent stenosis.

Cervical Laminoplasty is generally effective in relieving symptoms of spinal cord and nerve root compression. However, success rates will vary depending on the underlying condition and the patient's overall health. Many patients experience significant improvement in symptoms and quality of life.

Although this surgery is done under general anaesthesia, you will not feel pain during the surgery, but once its effect is worn off, you may feel mild to moderate discomfort. There can be sooting or tingling pain with numbness, which will improve once the nerves and tissues around the spine heal.

After Cervical Laminoplasty, you may need to make some lifestyle adjustments, such as:

  • Modifying activities to avoid excessive strain on the neck
  • Following the recommended exercises and physical therapy
  • Managing your weight and engaging in healthy habits to reduce stress on the spine
  • Practicing good posture and ergonomics
     

After Cervical Laminoplasty surgery, it is important to distribute the pressure by alternatively sleeping on your left and right sides. This will also benefit your spine’s alignment. To sleep comfortably, you can also place a pillow under or in between your knees right after the surgery. 

You should immediately contact your spine surgeon if you experience any of these symptoms:

  • Swelling
  • Skin discolouration
  • Severe or worsening pain
  • Dizziness
  • Fever
  • Difficulty breathing 
  • Bowel or bladder issues

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