Check out our client, Saville Spine Institute's website update about Cervical Laminoplasty.

A cervical laminoplasty is a surgical procedure performed to relieve pressure on the spinal cord in the cervical (neck) region. 

It is considered a less invasive alternative to cervical laminectomy with fusion, as it preserves the stability of the spine without the need for fusion. Here are the general steps involved in a cervical laminoplasty procedure:

  • The patient is placed under general anesthesia to ensure they are unconscious and pain-free throughout the surgery.
  • The patient is positioned face down on the operating table, and the neck area is carefully cleaned and prepared for surgery.
  • The surgeon makes an incision in the back of the neck over the affected cervical vertebrae. The length and location of the incision may vary depending on the specific case.
  • After making the incision, the surgeon carefully moves the muscles and tissues aside to expose the bony structures of the spine, specifically the laminae (the bony arches of the vertebrae).
  • There are different techniques for performing a laminoplasty, but a common approach involves creating hinged doors in the laminae. 
  • The surgeon cuts one side of the lamina, creating a hinge on the other side. This preserves the stability of the spine while providing more space for the spinal cord. The laminae are then lifted or opened like a door, increasing the area within the spinal canal.
  • In some cases, the surgeon may use screws, plates, or other hardware to secure the opened laminae in their new position. This helps maintain the increased spinal canal space.
  • After ensuring that the spinal canal has been adequately decompressed, the surgeon closes the incision with sutures. 

The patient is carefully monitored as they wake up from anesthesia, and then taken to a recovery area.

What is cervical laminoplasty?

Cervical laminoplasty is a surgical procedure performed on the neck to relieve pressure on the spinal cord and nerve roots caused by various spinal conditions. 

The main goal of cervical laminoplasty is to create more space within the spinal canal by enlarging the vertebral canal while preserving the stability of the spine.

When is cervical laminoplasty required?

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A cervical laminoplasty procedure is used to treat certain spinal conditions and disorders that result in compression of the spinal cord or nerve roots in the cervical (neck) region. 

This includes cervical myelopathy, cervical spondylosis, spinal stenosis, herniated discs, and traumatic injury to the spine.

Who is a good candidate for a cervical laminoplasty procedure?

Cervical laminoplasty is typically considered for individuals with specific spinal conditions that result in spinal cord compression or significant neurological symptoms. A good candidate typically has the following characteristics:

  • Has not experienced significant relief from non-surgical approaches, such as medication and therapy.
  • Has a progressive and severe cervical condition that affects the patient’s daily living activities.
  • Has no major pre-existing medical condition.

What is the recovery time for cervical laminoplasty?

The complete recovery from cervical laminoplasty can take several months. You may experience some stiffness and discomfort during this period, and it may take time to regain full neck strength and mobility. 

The specific duration of the recovery will depend on your individual circumstances, the extent of the procedure, and your commitment to post-operative care and rehabilitation.

What to expect during the recovery phase?

Here is a general timeline of what you can typically expect during the recovery process:

  1. Hospital stay: Most patients remain in the orthopedic facility for a brief period following the surgery, usually one to three days. During this time, your orthopedic specialists will monitor your condition, provide pain management, and help you begin your recovery.
  2. Neck brace or collar: You may need to wear a neck brace or collar for a certain period, which can vary based on your surgeon’s recommendations. This device helps support your neck and restricts movement to promote healing.
  3. Pain management: Pain and discomfort are common after a cervical laminoplasty procedure. Your healthcare team will provide pain medications as needed to keep you comfortable.
  4. Early mobility: It’s important to start moving as soon as possible after surgery. You will be encouraged to walk and engage in light activities to prevent complications and aid in the recovery process.
  5. Physical therapy: Physical therapy is a crucial part of the recovery process. You’ll likely start physical therapy shortly after the surgery, and it will continue for several weeks to months. 

Physical therapists will guide you through exercises to regain neck strength and mobility. The duration of physical therapy will depend on your progress and individual needs.

  1. Return to normal activities: The time it takes to return to your normal activities will vary, but most people can gradually resume non-strenuous activities within several weeks to a few months.
  2. Restrictions: Your surgeon will provide guidelines on activity restrictions, including limitations on heavy lifting and strenuous activities for a certain period.
  3. Follow-up appointments: Regular follow-up appointments with your surgeon are essential to monitor your progress and address any concerns.

Get the Relief You Need

If you’re seeking the best cervical laminoplasty in Palm Beach Gardens, you can trust our highly skilled and experienced team at Saville Spine Institute.

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Saville Spine Institute specializes in minimally invasive surgical techniques and motion-preserving orthopedic medicine. 

Book your free strategy session today.

Dr. Richard Girling
CEO & Founder
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