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Cervical Laminoplasty Treatment in Dhakuria

Cervical Laminoplasty

Cervical Laminoplasty Treatment in Dhakuria

Cervical Laminoplasty is one of the most recent and innovative surgical techniques for treating cervical spondylotic myelopathy. A Cervical Laminoplasty is a procedure used to realign or reshape vertebral bones to reduce strain on the cervical spine's nerves. The bones that make up the spinal column and shield your spinal cord are called vertebrae. The lamina, which creates a canopy over the spinal cord, is the back part of the vertebral bone. Several disorders, as well as ageing-related changes, can push your vertebrae out of alignment and press against the spinal canal. This could potentially affect the surrounding ligaments, muscles, and nerves, resulting in discomfort, posture issues, and impaired mobility. Laminoplasty aims to relieve pain, numbness, and paralysis while maintaining spinal stability. By maintaining the spine's natural structure, it offers an alternative option for more invasive procedures such as Laminectomy. The Spine Care Centre at Manipal Hospitals, Dhakuria, has a team of experienced spine care specialists offering effective treatment using advanced methodologies.

FAQ's

Surgery can be helpful for patients who have not seen improvement with other treatments, such as physical therapy and medication. Minimally Invasive Cervical Laminoplasty may be recommended for certain medical conditions, including:

  • CSM, or cervical spondylotic myelopathy

  • Spondylosis in the neck

  • Disc herniation

  • Osteophytes

  • Ossified or thickened spinal ligaments

  • Malignancies of the spinal cord

  • Congenital spinal canal constriction

While symptoms of mild stenosis may not show up at all, those of more severe cases worsen over time. In addition to the evident pain in the neck, patients may also have difficulty walking or maintaining balance, paralysis or numbness in the extremities, and occasionally incontinence or bowel dysfunction.

Stem Cell Therapy is proving to be highly effective in treating spinal stenosis. This involves extracting the fundamental elements from the body, isolating them, and then reintroducing them into the deteriorating tissue of the spine.

In Cervical Laminoplasty, an incision is made in the back of the neck while the patient is face-down and using a posterior approach. To release pressure on the spinal cord, the lamina is sliced to form an opening on one side and a hinge on the other. It's known as "Open Door" Laminoplasty because a spacer made of plastic, metal, or bone maintains the canal open. As an alternative, "French Door" Laminoplasty entails a central opening with hinges on both sides. This operation has a low rate of complications. Common problems include neck discomfort and stiffness following surgery; on rare occasions, transient nerve paralysis results in shoulder pain and weakness.

To ensure a speedy recovery to your pre-surgery activity level, our surgeon will create a personalised rehabilitation and exercise regimen for your post-operative care. While some or all of your symptoms may immediately disappear after a Cervical Laminoplasty, others may take longer to resolve. The duration of your hospital stay will depend on your treatment plan, and in certain cases, this procedure can be performed on an outpatient basis. Typically, patients can walk around the hospital by the end of the first day after surgery. The timing of your return to work will be determined by the type of work you do, your desired activity level, and the progress of your body's healing.

Surgery on the cervical spine from the back of the neck is usually more unpleasant compared to surgery from the front. To ensure patients' comfort during their recovery, a combination of over-the-counter medication, anti-inflammatory drugs, muscle relaxants, and limited use of narcotic prescriptions are used. Most patients can discontinue their opioid medication within a few days, and some may even find they no longer need it.

The most common alternative is the use of medication and physical therapy. To address herniated discs and similar neck problems, generally, a combination of medication and physical therapy is utilised as part of the treatment. The following are the other alternatives available:

  • Anterior Cervical Discectomy and Fusion, or ACDF: The procedure entails exposing your spine by making an incision in the front of your neck, extracting the damaged disc, and fusing the vertebrae above and below the removed disc.

  • Replacement of the Cervical Disc: A synthetic disc is inserted in place of the injured disc during a cervical disc replacement.

  • Follow all the instructions given by the spine surgeon and use a cervical collar for post-operative comfort and support.

  • Examine the incision for cleanliness, dryness, and security throughout the first five days, and then keep an eye out for any indications of infection.

  • Refrain from engaging in strenuous physical activity for some time and gradually reintroduce walking into your routine.

  • Driving is not advised until the reflexes recover to normal, which may take up to two weeks.

  • For the first two weeks, sleep on your back or side with a soft collar. Place your pillow correctly to avoid bending your neck forward.

  • Put on compression stockings and elevate your legs to reduce swelling. Wear them till you go for three daily walks.

  • When it is safe to go back to work, make sure to follow these tips and consider the advice of your surgeon, taking into consideration your recovery period and job demands.

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