[ Ссылка ]

Cervical Laminoplasy

Cervical Laminoplasty is a relatively new procedure that involves making the spine canal larger. The patient is placed in a face down position with an incision made on the back of the neck. Tissue is gently pushed aside, and two vertical cuts are made on each effected vertebrae. On one side the cut is partially through the bone leaving a groove, and on the other side the bone is cut entirely through. What is left acts as a hinge along the partial cut. This hinge is used to expand the spinal canal. The interior can be shaved down to remove bone spurs, and while the hinge is in a expanded position bone graft is used to prop the hinge open. Hardware is screwed in to keep everything in place and the surgeon closes the wound. Symptoms are instantly relieved if the spinal cord was undamaged from the impingement. Time is the most relevant indicator of recovery. The longer and stronger the symptoms are tolerated that higher chance that there will be damage. Even if the surgery was not performed in a timely manner most patients get better than they were even if perfect is no longer an option.

Cervical Laminoplasty is similar to having a cervical laminectomy (removal of the bone) but it preserves the bone and there is no need for a spine fusion. It is recommended for younger patients who want to preserve motion but still need a spinal canal widening procedure. It is indicated for congenital cervical spinal stenosis or for patients with multiple levels of disc herniation.

The hospital stay is usually one to two days. No cervical collar is needed after the procedure.

свернуть