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What is Cervical Laminoplasty?
A surgical procedure that reshapes or repositions bone to relieve stress on the spinal nerves in the cervical spine.
Cervical Laminoplasty is a surgical procedure that reshapes or repositions bone in order to relieve stress on the spinal nerves in the cervical section of the spine. The lamina is the roof of bone over the back of spinal cord and “plastos” means to mold. It differs from a laminectomy because the lamina isn’t removed, but rather repositioned or reshaped. The goal of this operation is to remove pressure off the spinal cord and spinal nerves in the neck through a posterior approach. This is not a fusion operation.
Who needs Cervical Laminoplasty?
Patients who have cervical stenosis are potential candidates for this surgery. Spinal stenosis occurs when the spinal canal narrows, putting pressure on nerve roots and the spinal cord.
The spinal canal may narrow because of the degeneration of the joints and intervertebral discs. The formation of bone spurs can also cause spinal stenosis in the spinal canal or thickening of connecting ligaments.
When the spinal canal becomes narrow, it may impinge upon and place pressure on the nerve roots and spinal cord. Symptoms may include:
- Feeling of numbness, weakness, and tingling in the neck
- Pain in the shoulders, hands or arms
- Pain in the neck
- Problems in bowel or bladder functions
Incision
The patient is given a general anesthesia and is positioned to give the surgeon access to the rear of the neck. The surgeon makes an incision of about three to four inches long. The surgeon dissects the neck muscles and tissues to expose the back portion of the vertebrae, called the lamina.
Groove cut on one side
Once the lamina is exposed, the surgeon cuts a groove on one side of cervical vertebrae to create a hinge.
Cutting of bones on the other side
The surgeon cuts the other side of the cervical vertebrae all the way through. The surgeon then cuts the tips of the spinous processes so that enough room is created for the bones to swing open like a door.
Opening back of vertebrae
The rear of the vertebrae is then opened by the surgeon to take pressure off the nerve roots and spinal cord.
Placing bone wedges
The surgeon places small wedges made of the bone in the open gap. The bone “door” is then closed by the surgeon. The wedges prevent it from closing completely. Spinal cord and the root nerves rest comfortably.
Closure
The muscles and soft tissues are then put back in their places by the surgeon. The wound is closed by stitching the skin together. The wound is cleaned and the bandage is applied.
What Happens After the Surgery?
Most patients can normally get out of bed within one or two hours after the surgery.
The surgeon may recommend you to wear a soft neck collar. The physician will instruct you to move your neck only very carefully and comfortably.
Returning to work depends on how quickly the patient’s body heals and the work the patient plans to return to.
This material is intended to give the patient an overview of surgical procedures and treatments and is not intended to replace the advice and guidance of a physician. Always consult with your doctor about the particular risks and benefits of your treatment.
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