Laminoplasty In India – By Trained Surgeons At Accredited Hospital India

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(Free-Press-Release.com) November 26, 2009 -- 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..


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...

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...


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..


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...






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