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A Laminoplasty is a procedure that relieves pressure on the spinal cord by opening up the spinal canal through the lamina bone, which is the back part of a spinal vertebra bone. The lamina, or back portion of the spinal bone, is made more spacious inside the spinal canal by means of a hinge. The opening in the spine is closed with metal hardware.
Laminoplasty relieves discomfort and guards against nerve injuries that could result in paralysis. The procedure involves anaesthesia, cutting the lamina bone, placing a bone graft, and moving muscles, ligaments, and skin back into place. The surgery takes one to three hours. The success rate of a Laminoplasty is high, with up to 70% of patients experiencing relief for up to 10 years. The majority of patients who get this procedure say that their symptoms are successfully relieved. Although complications are rare, get in touch with your doctor if you experience any strange post-procedural symptoms. The expert healthcare professionals at Manipal Hospitals, Mukundapur, are trained in providing superior spine care by performing high-precision spine care surgeries like Laminoplasty. We ensure patient safety and enhance treatment outcomes.
You may need a Laminoplasty to decompress 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:
There are several conditions that can lead to spinal cord compression, including:
If nonsurgical therapy methods have not been successful in relieving your symptoms, a physician or other healthcare provider may suggest Laminoplasty.
Prior to your surgery, it's important that you 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. It's possible that you will 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 you. 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 anesthesiologist 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:
On the back of your neck, make a cut in the skin above the afflicted lamina. Stretch the muscles, ligaments, and skin away from your spine.
To open it, will 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, will use metal plates and screws or a bone graft. 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
Before a Laminoplasty procedure, you will have a meeting with your surgeon. They will examine you and find out more about your health background. To examine your spine and make surgical plans, your surgeon will prescribe imaging tests. This could consist of:
You might hear your surgeon talk about the precise method they'll employ while performing a Laminoplasty. To open the lamina during a Laminoplasty, there are two methods:
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 procedure that works best for you will be determined by your surgeon.
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 in order to limit your movement while you heal. You'll experience reduced neck motion for a few weeks as a result.
You'll 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 possible side effects associated with a Laminoplasty:
Although they are uncommon, long-term issues can occur. They could consist of:
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