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Cervical Laminoplasty Treatment in Broadway

Cervical Laminoplasty

Cervical Laminoplasty Treatment in Broadway

The Cervical Laminoplasty procedure aims to relieve pressure in the spinal cord by increasing the space of the laminar arch through the posterior approach.

  • Pre-procedure: The patient is positioned appropriately (Reverse Trendelenburg position) on the operating table, and your vital signs, such as heart rate and pulse rate, are monitored. 

  • Procedure: During the procedure, anaesthesia is administered, and an incision is made in the cervical region (posterior neck area). The tissues, muscles, and ligaments are then moved away using a specialised tool to expose the affected vertebrae. Specialists then remove the outer layer of the lamina, forming two troughs. Depending on the complexity of the condition, specialists may employ the Open door technique, where they cut through one of the troughs to pull open the vertebral arch using the other trough as a hinge, or the French or Double door technique, where both troughs are used as hinges, enabling them to open the vertebral arch from the middle, thereby relieving pressure. Bone grafts along with metal plates or screws are then used to secure the opening, followed by repositioning your skin tissues, muscles, and ligaments. The incisions are then subsequently sealed using sutures.

  • Post-procedure: You will be transferred to the recovery room, where you will be monitored further for post-operative complications. 

Consult our spine surgeons if you need Cervical Laminoplasty Treatment in Broadway.

Cervical laminoplasty is a surgical technique that removes pressure from the spinal cord in the neck and enlarges the spine canal In Manipal Hospitals Broadway over 10 lakh people have been treated for the niche.

FAQ's

Some indications that can be addressed with Cervical Laminoplasty include:

  • Ossification of the Posterior Longitudinal Ligament (OPLL), characterised by the hardening or thickening of spinal ligaments, causes nerve compression, pressure, and pain

  • Spondylotic myelopathy, congenital spinal narrowing, or stenosis, leading to nerve compression, particularly at the back

  • Spinal cord tumours, blood vessel issues, or malformations

  • Syringomyelia, identified as cysts within the spinal cord

Specialists may consider some parameters, such as the K-line, which is an imaginary line used in X-ray imaging, to confirm whether Cervical Laminoplasty is a good option for patients. Moreover, the procedure is feasible for patients with natural curves or lordosis. However, Cervical Laminoplasty is not recommended for conditions that can be treated using the anterior approach or if patients have spinal instability, kyphosis, or severe comorbidities or diseases. 
 

To see whether you are eligible for a Cervical Laminoplasty procedure, our specialists will discuss your medical history and perform one or multiple diagnostic imaging, which may include radiography X-rays, magnetic resonance imaging (MRI), or a myelogram. Results are then discussed with you, followed by a detailed explanation of potential benefits and risks. Our specialists will then assist you in making an informed decision, taking into account your personal preference and condition. 
 

General instructions you can follow before undergoing Cervical Laminoplasty include:

  • Informing our specialist of current medications, supplements, or vitamins, and refraining from blood thinners and other medicines advised by our specialist

  • Abstaining from smoking or chewing tobacco to prevent any peri-operative complications

  • Wearing loose clothing and leaving all your jewellery and accessories during the day of the procedure

  • Arranging your transportation before and after the procedure

Some complications or risks that are associated with Cervical Laminoplasty include:

  • Severe bleeding or infection around the surgical site

  • Pain or a feeling of numbness

  • Nerve damage, mainly by iatrogenic injury

  • Irregular bladder or bowel control

  • A spinal cord injury causing paralysis or muscle weakness

  • Kyphosis, identified as excessive curving of the spine, or lordosis

  • Recurrent stenosis or narrowing of the spinal cord

  • Loss of spinal alignment

  • Bone graft failure, leading to improper fusion of vertebral cones that may necessitate revision surgery 

Our specialists will inform you about possible complications that may manifest based on your condition and assure you of timely intervention if the need arises during or after the procedure. 
 

During your stay in the recovery room, our specialists will monitor your vital signs and will wait until your anaesthesia effects wear off. You will be asked to get out of bed and take a few steps to assess your mobility. You may wear a cervical brace to immobilise your neck area to avoid unnecessary movement until you heal completely. Moreover, imaging scans will be performed to evaluate the outcome of the procedure. Any pain or discomfort will be addressed with pain relievers and antibiotics to prevent wound infections. You may also be recommended for physical therapy, where you will be provided with a customised exercise regimen to strengthen yourselves and enhance your mobility. 
 

The general duration of a Cervical Laminoplasty procedure may span between 1 and 3 hours, although this differs depending on the severity of your condition and the type of technique used. Sometimes, specialists may perform additional surgeries, such as Foraminotomy, a type of Decompression Surgery, which can affect the duration. Our specialists will let you know the expected time based on your case. 
 

Typical recovery time for patients who have undergone Cervical Laminoplasty may range between 6-12 weeks; however, this can vary based on your condition, general health, and pace of recovery. It may take around six weeks to perform heavy or strenuous exercises, including lifting weights. Moreover, you can return to work within a few weeks. Our specialists will schedule follow-up appointments to evaluate your progress and make adjustments to medications, if necessary. 
 

General post-recovery instructions you can adhere to to enhance your recovery include:

  • Taking adequate rest and avoiding sitting or standing for prolonged periods

  • Practicing extreme caution while climbing stairs or performing similar activities

  • Performing light exercises, including walking, although with less intensity initially and then gradually increasing your pace

  • Refraining from doing heavy exercise or lifting heavy weights 

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