Laminoplasty is a surgical treatment which is done in order to release the pressure on the nerve roots and spinal cord. This surgery is done on the lamina which is a thin plate of bone located between the cervical (neck), lumbar (lower back) and thoracic (midlevel of the back) regions of the spinal cord. The lamina protects the spinal canal and all the nerves in it. The laminoplasty is usually performed on patients with spinal cord compression from multiple different spinal levels and can treat several types of spine conditions such as:
1. Narrowing of the spine or spinal stenosis
2. Cervical herniated disc
3. Cervical radiculopathy
4. Degenerative disc disease
5. Lumbar herniated disc
6. Lumbar spinal stenosis
9. Tumor or lesion
The minimally invasive laminoplasty spine surgery is best type of laminoplasty because it is the least invasive procedure in which a small incision is made at the back that decreases the chances of infections and have shorter recovery period whereas in the traditional laminoplasty surgery, a long incision is made at the spine to see the part which is to be operated upon.
Doctor will explain the procedure, its benefits and risks involved before planning the surgery. He/she may recommend few tests such as blood tests, X-rays, CT scan or MRI to determine the overall health and medical history of the patient. In some cases, patient will be asked to stop taking steroidal anti-inflammatory drugs and would be asked to quit smoking a month before. Patient may need to change the dietary habits and should include more vitamins and nutrients in the diet for faster recovery.
During the surgery, patient will be given anesthesia through intravenous line. A small incision is made in the back where the nerves have been compressed under the guidance of fluoroscope. Surgeon will then insert thin tubes through incision to dilate the muscles and make a passage for the surgical tools and a tiny camera that enables the surgeon to have full view of the spine while performing the surgery. A small portion of the spine is removed from the affected area to relieve the pressure on the nerves. This creates more room in the spinal canal for better positioning of the spinal nerves. After the surgery, surgeon will remove the tubes and close the incision with stitches or surgical tapes. This surgical procedure can take 1 to 3 hours depending on the problem. Patient’s heart rate, blood pressure and blood oxygen will also be monitored during the surgery and while in recovery room.
Patient may feel slight discomfort and pain at the incision site, neck or back after the surgery. In some cases, brace is recommended to stabilize and support the healing process. Proper hygiene should be maintained and incision should be kept clean and dry. Patient should also refrain from strenuous activities, heavy lifting, driving and smoking. Physiotherapy will be recommended by the doctor along with some medications for faster recovery and regular follow-ups visits are required.
Although laminoplasty is less invasive surgery procedure but still has some risks and complications that may include:
1. Infection at wound site
2. Unexpected bleeding
3. Reaction to anesthesia
4. Injury to nerves
5. Blood clots
Patient should immediately inform doctor if there is pain, swelling or redness at the wound site, bladder or bowel dysfunction or if he/she is having high fever.
Spine laminoplasty in India – surgeons in India have vast experience and are specialized in performing minimally invasive laminoplasty spine surgery. Hospital infrastructures in India are also well equipped with the advance technology, are compatible for instrumental surgery and have dedicated medical team of experienced spine Surgeons, Rheumatologists, Neurologist, Physicians and Physiotherapist that will help the patient to regain functional abilities quickly. They provide high quality treatment and services at the reasonable, affordable and transparent costs