Laminoplasty In India – By Trained Surgeons At Accredited Hospital India

Article by Pankaj S. Nagpal

Laminoplasty In India

POSTERIOR CERVICAL LAMINOPLASTY / LAMINAPLASTY

Cervical stenosis can place pressure on the spinal cord in the neck region. The result of pinching of the spinal cord can be an insidious loss of coordination, loss of balance during walking, and even bowel and bladder incontinence…

Laminaplasty – Step 1

India Cervical Laminoplasty The diagram at left shows one way to perform the laminaplasty. A cut is made of the lamina down the middle, then grooves are made at the edges of the lamina that allow the lamina to be hinged open. These cuts are shown in red in the diagram below. The compressed spinal cord is shown in blue…

Laminaplasty – Step 2

India Cervical Laminoplasty, Laminoplasty, Spinal Stenosis The result is a conversion of the area for the spinal cord from a small triangular area to a large rectangular area. This elegant reconstruction allows for the muscles to attach to the new lamina and to provide protection from direct trauma to the spinal cord and protection from the spine falling forward…

Posterior Laminoplasty

In order to reduce the risk of post-operative instability and to avoid a fusion, some surgeons will recommend lifting the lamina on one side and leaving a hinge on the other side.

* The advantage of this technique is that it increases the size of the canal but leaves the posterior tether that helps keep the spine stable. * The disadvantage is that it may not be as easy to decompress the nerves on both sides as they exit the foramen…

Possible Risks/Complications

A laminectomy or laminaplasty may not be successful in releasing compression on the spinal cord if the spine is not in lordosis (normal swayback). In such a case, anterior cervical corpectomy may be necessary to treat the spinal cord compression…

other potential risks include : -

* Dural tear (cerebrospinal fluid leak) * < 1% infection rate * Bleeding * Increased pain * “collapse” of the hinge * Instability in the spinal column * Progressive kyphosis * Death…

After Surgery

If the surgery simply prevents progression of the spinal cord damage (myelopathy) and there is no loss of function due to the surgery, both the patient and surgeon should consider it successful…

Outcome

The results of the surgery are variable since some people have more extensive disease than others.

In general, after the surgery most patients can expect to regain : – * Some spinal cord function.* Improvement in their hand function and walking/balancing capabilities. * Surgery is very effective in reducing the pain in the arms and shoulders caused by nerve compression. However, some neck pain may persist…

* The outcome of treatment for myelopathy is more variable than surgery for radiculopathy. Decompressive procedures such as laminectomy generally arrest progression of myelopathy. The amount of recovery of neurologic function such as balance, coordination, bowel or bladder incontinence depends on the amount and duration of compression, as well as the presence of any permanent damage to the spinal cord.

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About the Author

Welcome To World Class Treatment And Surgery By We Care Health Services, India. Contact Us : -www.Indiahospitaltour.ComE-Mail Us On : – info@wecareindia.comContact Center Tel.: (+91) 9029304141 / (+91) 22 28941902Laminoplasty Surgery, India Cervical Laminoplasty