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A Laminoplasty is a surgical procedure that relieves pressure on the spinal cord by opening up the spinal canal through the lamina bone, which is the back portion of a spinal vertebra bone. Spinal cord compression may cause certain symptoms, including pain and stiffness in the neck, numbness in the limbs, and difficulty walking. The main aim of a Laminoplasty is to prevent further worsening of these symptoms by removing a portion of a bony vertebra, called the lamina, and repositioning it.
Laminoplasty relieves discomfort and guards against nerve injuries that could result in paralysis. The procedure involves administering anaesthesia, cutting the lamina bone, placing a bone graft, and moving muscles, ligaments, and skin back into place. The majority of patients who get this procedure have informed us that their symptoms have been successfully relieved.
Manipal Hospitals, Broadway, has highly skilled neurosurgeons to render effective treatment with a commitment to excellence. With our highly skilled team of Laminoplasty doctors in Broadway, We offer comprehensive and effective solutions for various spinal conditions.
You may need a Laminoplasty to relieve back pain by decompressing the upper portion of the spinal cord that passes through your neck. The compression of this area may result in cervical myelopathy. Symptoms of cervical myelopathy include:
Neck pain and stiffness
Tingling or numbness in your extremities
Balance issues
Poor limb coordination and weakness in the limbs
Problems in handling things such as coins and writing tools
Before a Laminoplasty procedure, your surgeon may examine you and assess your overall health. To examine your spine and make surgical plans, your surgeon may also ask you to undergo imaging tests. This could consist of:
An MRI
An X-ray
A myelogram
Several conditions can cause spinal cord compression, including:
Arthritis
Fracture
Bone spurs
Herniated disc
Before your surgery, you must inform your surgeon of any medications or supplements you take. Certain drugs, including aspirin, can prevent your blood from clotting. You could be instructed by your surgeon to temporarily discontinue taking these drugs.
Under general anaesthesia, a Laminoplasty is done in a hospital, and you will be unconscious throughout. You may require a few days or longer of hospital stays, so make sure you have everything you'll need with you.
Before your procedure, you'll be instructed to avoid eating and drinking for a specific amount of time. Furthermore, adhere to any particular guidelines that your surgeon may provide. This can involve arranging for a ride home from the hospital and packing appropriately for the day of your procedure.
You will receive general anaesthesia from an anaesthesiologist on the day of your procedure. You won't experience any pain during the process because this will put you to sleep.
Your medical professional will:
Cut the skin on the back of your neck, above the afflicted lamina. Stretch the muscles, ligaments, and skin away from your spine.
To open it, they will also 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 newly created opening, metal plates and screws or a bone graft may be used. This does not combine bones. Each level of the spine receives a separate plate to preserve your existing range of motion.
Reposition your skin, ligaments, and muscles.
Closes the stitches.
There are two methods to open the lamina during a Laminoplasty. Your surgeon will determine the procedure that is best for you.
Open door: Your surgeon will slice the lamina, opening one side of the bone like a door. This procedure is sometimes referred to as a hinge. The lamina aperture is fastened with metal plates and screws.
French door: The lamina is divided in half by your surgeon. The bone spreads apart like two doors. This opening is secured using bone grafts and spacers.
The duration of your stay in the hospital depends on multiple factors, including your general health, the complexity of the procedure, and any potential problems. After surgery, you can usually return home one to three days later.
After the procedure, you can have severe neck pain, but this should go away over the following few months. A neck collar will probably be provided to you to limit your movement while you heal. You may experience reduced neck motion for a few weeks as a result. You will need to take around six weeks off from intense exercise during your recovery. You should also avoid doing too much lifting, twisting, or bending while you're healing.
The following are certain risks that are associated with a Laminoplasty:
Spinal fluid leak
Allergic reaction to the anaesthesia
Bleeding and infection at the surgical site
Numbness
Pain
Harm to nerves
Loss of spinal alignment
Recurring stenosis
Inability to control one's bowel or bladder
Damage to the spinal cord (paralysis or weakening)
Kyphosis (curving or bowing of the spine)
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