Table of Contents
What are laminoplasty plates?
Laminoplasty plates may be used as an adjunct to these bone spacers, providing rigid instrumentation to the strut and preventing door closure.
Is laminoplasty a fusion?
Cervical laminoplasty is a spinal fusion alternative that involves creating more space for the spinal cord while avoiding fusion and maintaining spinal motion.
What is laminoplasty surgery?
Laminoplasty is performed only on the vertebrae in the neck (cervical spine). It opens up the space within the spinal canal by creating a hinge on the lamina. Metal hardware bridges the gap in the opened section of the spine.
How is laminoplasty done?
The laminoplasty procedure involves “hinging” one side of the posterior elements of the spine open relieving pressure on the spinal cord. First, an incision is made in the back of the neck. Retractors are used to hold the fat and muscle away from the lamina (bone).
What is the difference between Laminoplasty and laminectomy?
Laminotomy – removal of a small section of the lamina in the affected area of the spine. Foraminotomy – removal of bone around the neural foramen in the affected area of the spine. Laminoplasty – cutting the lamina and swinging it open like a door to create more space (performed only in the cervical spine)
What is Open door Laminoplasty?
Expansive open-door laminoplasty (EOLP) is a useful technique for enlarging the spinal canal area for spinal cord decompression, by retaining the dorsal elements of the cervical spine for support, and preventing invasion of the postlaminectomy membrane.
What is the difference between laminectomy and Laminoplasty?
Is a Laminoplasty the same as a laminectomy?
The alternative to laminectomy for cervical spinal stenosis is laminoplasty. Instead of removing the lamina, only one side of the lamina is disconnected. On the other side, a hinge is created so that the lamina can be opened like a door on a hinge. Then a plate is placed on the opened side to keep the door open.
What is the difference between laminectomy and laminoplasty?
Does the lamina grow back?
The lamina does not grow back. Instead, scar tissue grows over the bone, replacing the lamina, and protects the spinal nerves. Your surgeon can describe your particular spinal operation to you.
What is the success rate of cervical Laminoplasty?
What is the success rate of laminoplasty? There are two ways to define success of laminoplasty: prevention of neurological worsening and improvement of neurological symptoms. Scientific studies report improvement in up to 60% of patients.
What is the success rate of Laminoplasty?
How long does it take to recover from Laminoplasty surgery?
Recovery from posterior cervical laminoplasty surgery can take 6-12 weeks, but patients continue to heal for up to a year after surgery. When can I return to work and/or to my activities? Walking is highly encouraged, immediately after surgery and throughout your post operative period.
What is the success rate of laminoplasty?
What happens when the lamina is removed?
The lamina bone forms the backside of the spinal canal and makes a roof over the spinal cord. Removing the lamina and thickened ligament gives more room for the nerves and allows for removal of bone spurs (osteophytes).
How long does it take to recover from cervical Laminoplasty?
What kind of recovery can I expect after surgery? Recovery from posterior cervical laminoplasty surgery can take 6-12 weeks, but patients continue to heal for up to a year after surgery.
Is cervical laminectomy painful?
Your neck will probably feel stiff or sore. This should improve in the weeks after surgery. You may need pain medicine for a short time. Your doctor may advise you to work with a physiotherapist to strengthen the muscles around your neck and spine.
What is the laminoplasty procedure?
The laminoplasty procedure involves “hinging” one side of the posterior elements of the spine open relieving pressure on the spinal cord. First, an incision is made in the back of the neck.
How important is soft tissue management when performing laminoplasty with fusion?
Proper soft tissue management is arguably more important when performing laminoplasty versus laminectomy with fusion, as functioning cervical extensor muscles are required to maintain the posterior tension band in the absence of arthrodesis.
What are the risks of laminoplasty?
There are always risks with any surgery. Potential complications may include: Weakness, paralysis due to spinal cord or nerve root damage Recurrence or continuation of pain. What is the success rate? The success rate of a laminoplasty to alleviate pain from cervical spinal stenosis is generally favorable.
When is laminoplasty indicated in the treatment of multiple myelopathy?
In our opinion, the ideal indication for laminoplasty is in a patient with multilevel myelopathy (generally involving 3 or more motion segments), who has preserved lordosis, and minimal to no spondylotic axial pain.