Monday 26 May 2014

Laminotomy is a Surgical Procedure that Helps to Decompress the Spinal Cord

Laminotomy

Laminotomy is a surgical procedure performed to relieve spinal cord and/or nerve root compression.  To help you understand the term, let’s separate laminotomy into two: lamina and otomy.
  • 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.
  • Otomy means to partially remove.
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

The purpose of a laminotomy is to decompress—take pressure off the spinal cord and nerve roots.  During a laminotomy, part of the lamina is removed to open the spinal canal and access the spinal cord and nerve roots.  A laminotomy allows your neurosurgeon to access your spine from behind; your posterior side.
  • A laminotomy may be part of another surgical procedure called a discectomy.  Sometimes a herniated disc encroaches into the spinal canal and presses on the spinal cord and nerve roots.
  • Degenerative spinal disorders may contribute to thickening of spinal ligaments.  The ligamentum flavum is a yellow ligament that vertically connects your spinal column.  Thickening of this ligament can cause it to buckle and press on the spinal cord and nerve roots.

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
  • Tumor, infection (uncommon)
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