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Laminoplasty Surgery in Bhubaneswar

Laminoplasty

Laminoplasty Surgery in Bhubaneswar

‌Laminoplasty is a surgical procedure aimed at treating spinal stenosis by relieving pressure on the spinal cord and nerves. This is achieved by creating an opening through the lamina, the bony structure at the back of each vertebra, into the spinal canal where the spinal cord is located. The purpose of Laminoplasty is to safeguard the spine from neurological issues such as paralysis while also providing stability and support. The most common form of Laminoplasty is cervical Laminoplasty, which specifically targets the bones in the neck or cervical spine. It should be noted that only the cervical spine and spinal bones can undergo this procedure. This procedure is often used to treat conditions such as cervical stenosis or myelopathy, where narrowing of the spinal canal leads to symptoms like pain, numbness, weakness, or impaired coordination. By creating a hinge on the lamina, the spinal canal is expanded, increasing the available space. 

Manipal Hopsitals provides effective Laminoplasty Surgery in Bhubaneswar through its team of skilled spine care specialists, improving neurological function and quality of life while minimising long-term complications.  

 

 

FAQ's

Decompressing the upper portion of the spinal cord that passes through your neck is accomplished through Laminoplasty. Cervical myelopathy may result from compression of this area of the spinal cord. Symptoms of cervical myelopathy include:

  • Tingling or numbness in your limbs

  • Stiffness and pain in the neck

  • Weakness of the limb 

  • Problems with balance

  • Instability and lack of hand-to-finger coordination challenge managing tiny things like pennies and coins. 

If conservative measures are still not able to relieve your problems, a medical professional or other healthcare provider might suggest Laminoplasty. 

According to some studies and research, a person who has the mentioned symptoms should undergo the procedure: 

  • Has minor pain in the neck area 

  • Compression of the spinal cord due to several vertebrae in the neck 

  • Their spine still curves naturally

For those with moderate to severe cervical kyphosis—an excessively rounded upper spine—Laminoplasty is not advised.

In certain circumstances, Laminoplasty, a surgical treatment used to relieve spinal cord compression, is usually not recommended because of possible hazards or a lack of efficacy.

  • Severe spinal instability 

  • Elderly people with reduced bone density

  • Severe cervical curvature, or lordosis

  • Significant cervical kyphosis (abnormal forward curvature) is present.

  • A spinal infection that is persistent

  • Inadequate overall health or medical issues raise the risk of surgery

  • Recent operations that make the process more difficult or restrict access

  • Particular anatomical differences compromise the procedure's safety or efficacy

Before having a Laminoplasty, you will have a consultation with your surgeon. They will examine you and find out more about your medical background. To examine the spine and make surgical plans, the surgeon will prescribe imaging tests. This could consist of:

  • An MRI

  • An X-ray

  • A myelogram

Inform your surgeon of any current supplements or medications you take. Your doctor may adjust the dosage of an existing prescription or write you a new one to modify your course of treatment. By doing this, surgical problems may be avoided. Tobacco products might interfere with the healing process after surgery, so your physician could advise you to cut back or quit using them.

The anaesthesiologist will administer general anaesthesia to you on the day of the operation. Your medical professional will:

  • Make a cut or incision in the skin on the back of your neck, just above the damaged lamina. Stretch the muscles, ligaments, and skin away from your spine.

  • To open it, cut the lamina bone. Instead of removing all of the bone, they will leave a hinge or gap on one side of the lamina.

  • To secure the new opening, they either insert metal plates and screws or a bone transplant. This does not combine bones. Each level of the spine receives a separate plate to preserve your present range of motion.

  • Adjust the skin, ligaments, and muscles in your body. Keep the incision closed.

Following a Laminoplasty, your surgeon may do a ‌Laminotomy. To reduce pain, a Foraminotomy decompresses nerve roots. To control bleeding, your surgeon may also implant a drain at the site of your incision. Depending on your circumstances, your care team may decide to remove it after 24 hours.

In general, there is little chance of major side effects after Laminoplasty. Based on research, the overall rate of complications appears to be on par with other myelopathy operations, if not superior. Possible dangers consist of:

  • Persistent neck pain

  • Weakness, or numbness

  • Spinal fluid leaks

  • Severe bleeding

  • Surgical site infection

  • Anaesthesia-related allergy

Of those who have this procedure performed, 5% to 8% are reported to suffer an infection. Following ‌surgery, up to 11% of patients experience kyphosis or an increased bend in their cervical spine. 

Certainly, there are Laminoplasty substitutes available, based on the patient's circumstances and the underlying condition:

  • Laminectomy: The extraction of a segment of the lamina to release compression on the spinal cord

  • Discectomy: Removing tissue that is herniated from the disc to release pressure on the nerves or spinal cord

  • Foraminotomy: To relieve nerve compression, the neural foramen is enlarged.

  • Anterior Cervical Discectomy and Fusion (ACDF): This procedure involves fused vertebrae joining together after a herniated disc is removed through the front of the neck.

  • Artificial Disc Replacement: To relieve compression and restore mobility, a damaged disc might be replaced with an artificial implant.

 

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