The Advantage of Laminoplasty spine Surgery – Stenosis , Herniated Disc , Spondylosis , Tumor Treatment in India

Laminoplasty

Laminoplasty or laminaplasty is a term that refers to a surgical procedure performed to relieve spinal cord and/or nerve root compression.  To help you understand, let’s separate laminaplasty into two; lamina and plasty.

• Lamina - Located at the back of the spine, the lamina are thin bony plates between each facet joint in the cervical (neck), thoracic (mid back), and lumbar (low back) spine.  The laminar plates are part of the bony wall that covers and protects the spinal canal.  Within the spinal canal are the spinal cord and nerve rootlets.

• Plasty means to surgically repair.

Your spinous processes are bones that project off the back of your spine.  You can feel the end of most of your spinous processes by moving your hand up or down your spine.

Purpose

During laminaplasty, the lamina is cut in such a way that it opens like a door, and takes pressure (decompresses) off the spinal cord and nerve roots.  Your neurosurgeon uses small pieces of bone or metal plate as a wedge to hold the lamina in position during healing.

Causes of spinal cord and/or nerve root compression includes:

• Cervical spinal stenosis
• Cervical herniated disc
• Cervical radiculopathy
• Degenerative disc disease
• Lumbar herniated disc
• Lumbar spinal stenosis
• Spondylosis
• Spondylolisthesis
• Tumor, infection (uncommon)\

Laminoplasty aims at decompressing the spinal cord and the spinal nerves, by hinging open the vertebrae posteriorly. The lamina (flat arch on the backside of the vertebral body) is cut open on one side and grooved on the other side to keep it hinged to the main body of the vertebra. This creates more room for the spinal cord and nerves. Any compressing structure like a herniated or fragmented disc, or bony spurs, thickened ligament etc are also removed in this procedure.

The advantage of this procedure is that the stability of the spine is maintained as the amount of bone and muscle tissue that is removed is very less, and any fusion surgery of the spine is avoided.

How is the surgery performed?

This surgery is performed by sedating the patient under general anesthesia and making him lie on his stomach. The head is kept slightly bent with the help of Mayfield clamp to straighten the skin folds on the neck. A midline incision is made on the back of the neck corresponding to the affected spinal segment. The skin is cut open and the muscles are separated to view the involved vertebrae.

The lamina are cut through their thickness longitudinally on one side and grooved on the other side to keep it hinged to the vertebral body. The posterior part of the vertebra is swung open like a door. Small wedges made of bone are placed in the opened space of the door. The door of the vertebrae swings shut, and the wedges stop it from closing all the way. The spinal cord and the nerve roots rest comfortably behind the door. Since this increases the space in the spinal canal, it decompresses the spinal cord with immediate relief of symptoms. Any presence of herniated disc, thickened ligament or facet joint and osteophytes are identified and removed.

PostOperative Recovery and Rehabilitation

The person is usually up and about on the same day after surgery and is discharged in one or two days later. The Physical therapist advises certain exercises of the neck to maintain the flexibility and strength of the neck muscles before the patient is discharged. Certain ergonomics advice regarding neck movements is also given.

The patient is able to return to his daily activities wearing a soft cervical collar within a few days. The collar is discarded after some time.

Our network hospitals have the most advanced spine surgery facilities. The spine surgeons here use minimally invasive and computer guided techniques in spine surgery. In a Minimally Invasive spine surgery the surgeon makes a few small incisions unlike the open surgery where a single large incision is made. Minimally Invasive spine surgery has several important benefits for the patients. If you have been advised spine surgery your first choice should be the latest minimally invasive technique developed by our world best hospitals in India. Most advanced Technology like Intra Operative MRI, Brain Suite and Computer Assisted Navigation System are deployed by highly trained surgeons for accurate and safe Spine Surgeries through a small incision.

Why should you choose to get Indian hospitals offer the best spinal surgery treatment in India at affordable prices. MedWorld india associated best spine surgery hospitals in India have the latest technology and infrastructure to offer the most advanced spine surgery at low cost.

Salient features of these hospitals are:

• Comprehensive management of spine disorder from birth defects to degeneration of tumor and trauma.
• Dedicated team of International trained and vastly experienced Spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Expert evaluation of spinal problems by dedicated team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist.
• Latest Generation Diagnostic and Imaging facilities including dynamic digital X rays, Spiral CT scanning , MRI and Electrophysiology unit all under one roof.
• Physiotherapy and Rehabilitation by experts after the surgery help you regain functional abilities quickly helping in vastly improved overall results.

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