
A surgical procedure to relieve spinal cord compression by reshaping or repositioning the lamina in the neck.
Cervical laminoplasty is a surgical procedure performed to relieve pressure on the spinal cord and nerve roots in the cervical (neck) region. It involves reshaping or repositioning the lamina, a part of the vertebra, to create more space for the spinal cord and nerves.
Cervical laminoplasty is typically recommended for conditions that cause spinal cord compression in the neck, such as cervical stenosis, ossification of the posterior longitudinal ligament (OPLL), and cervical myelopathy. These conditions can lead to symptoms like neck pain, numbness, weakness, and impaired coordination.
During the procedure, the surgeon makes an incision in the back of the neck to access the cervical spine. The lamina is then partially cut and hinged open like a door to widen the spinal canal. Small metal plates or bone grafts may be used to keep the lamina in its new position, ensuring the expanded space remains open.
Recovery involves a hospital stay of a few days. Patients may experience neck pain and stiffness initially, which can be managed with medications. Physical therapy is often recommended to aid in the recovery process, focusing on improving neck strength, flexibility, and overall function. Most patients can return to normal activities within a few weeks to a few months, depending on the extent of the surgery and individual healing rates.
Potential risks and complications include infection, bleeding, nerve damage, spinal instability, and adverse reactions to anesthesia. There may also be a risk of persistent neck pain or stiffness and, in some cases, inadequate decompression of the spinal cord, requiring further treatment. It is important to discuss these risks with the surgeon prior to the procedure.