http://www.medilaw.tv Cervical Spine Laminoplasty with bone strut medico-legal multimedia. Illustrates the surgical technique for performing a cervical laminoplasty. This procedure is used to decompress the spinal cord. Also shown is the patient position, skin preparation and incision, the surgical approach, the lamina being incised and opened, the insertion of bone blocks to hold the lamina open, and the addition of bone graft chips to facilitate bony fusion and finally wound closure.
A Laminoplasty, also known as a laminaplasty, is a procedure that tilts open some lamina at the back of the spinal canal to increase the space and decrease the pressure on the spinal cord. Cervical Spine Laminoplasty with bone strut medico-legal multimedia.
In degenerative spinal stenosis, any of a posterior disc protrusion, bone spurs or osteophytes from the vertebral bodies and facet joints, or buckling or calcification of the spinal ligaments, can compress the spinal cord. In addition, some people are born with a narrow spinal canal, and they tend to get degenerative spinal stenosis symptoms earlier in life, in their forties and fifties. Cervical Spine Laminoplasty with bone strut medico-legal multimedia.
The pressure on the spinal cord can damage it, a process called myelopathy. This can cause pain, weakness, tingling or numbness in the arms or legs, and can affect the use of your hands, how you walk, and your bowel and bladder function. Advanced myelopathy can confine you to a wheelchair. A laminoplasty increases the size of the spinal canal, removing the pressure on the spinal cord and usually reduces the progression of the symptoms. A laminoplasty will also assistance the maintenance of good spinal alignment.
INDICATIONS
The indications for a laminoplasty are persisting pain or weakness, that has been shown by physical examination and radiography to be due to spinal cord compression, and that has not responded to conservative treatment. If there is bowel or bladder dysfunction, difficulty walking, severe muscle weakness, or severe pain that is not controlled by strong pain relievers, your clinician may recommend immediate surgery to prevent permanent spinal cord or nerve damage.
ALTERNATIVES
The non-surgical alternatives to laminoplasty may be
-- activity modification
-- weight loss
-- aerobic exercise, such as walking, cycling, and swimming
-- strength and flexibility exercises
-- physical therapy
-- hydrotherapy
-- heat and cold pads
-- acupuncture
-- pain-relieving medications such as acetaminophen or paracetamol, non-steroidal anti-inflammatory drugs, steroid and local anesthetic injections.
If the spinal stenosis is compressing the spinal cord and causing neurological symptoms (myelopathy), then your surgeon will usually recommend surgery to decompress the spinal cord and relieve the neurological symptoms (paresthesia, numbness, weakness). Surgery may or may not relieve any neck pain. Cervical Spine Laminoplasty with bone strut medico-legal multimedia.
GOALS
The goals of a laminoplasty are to increase the space for the spinal cord to decrease the pressure on the cord, and prevent the myelopathy worsening, while maintaining spinal stability, motion and alignment.
TECHNIQUE
You will be lying on your front. Your neck will be cleaned. An incision will be made in the middle of the neck, and the overlying muscles will be moved to the side. Your surgeon will confirm the position of the correct vertebrae for the procedure by using x-ray imaging. A groove of bone and ligament will be removed from one of the lamina. A shallow groove of bone will be removed from the other side, to form the hinge. The lamina and connecting tissues will be opened like a door to decompress the spinal cord. Bone blocks will be placed to hold the door open and bone chips will assist the fusion. The wound will be closed with sutures. Cervical Spine Laminoplasty with bone strut medico-legal multimedia.
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cervical stenosis Laminoplasty for multiple disk problemsby TheEkkurthi653 views
this look scary
is there any pain will occur in neck movement in the future?
alaanees 6 months ago