Laminectomy and Fusion

At Neuro Spine & Pain Center, the leading surgeons frequently perform two of the most prevalent spinal surgeries worldwide: the lumbar laminectomy and the cervical laminectomy. These procedures are undertaken by the spinal surgeon to relieve excruciating discomfort that ensues from the constriction of spinal nerves. By expanding the spinal canal, the surgeon grants your spinal nerves greater room. The medical term for this procedure is a laminectomy, which involves removing sections of the lamina, a bony framework that serves as a small roof for the spinal canal and shields the rear of the spinal cord, as well as the thickened ligaments that cover the spinal cord and nerves.

Procedure

Under general anesthesia, the patient is positioned face down on the surgical table for the operation. X-ray or fluoroscopic guidance is employed to enhance the visibility of the surgical site throughout the procedure, and X-rays are captured to verify the level of the impacted cervical vertebra. An incision is made at the back of the neck, and the muscles and soft tissues are shifted aside to uncover the lamina. To gain access to the spinal cord and nerve roots, the lamina and spinous process (projections of bone that can be detected by running your fingers along the back of your spine) are excised. Additionally, any disc fragments or other tissues that contribute to nerve compression may be removed or trimmed. This alleviates pressure on the spinal cord and nerves. For fusion, bone grafts are utilized to promote new bone growth and are placed in the space between the affected vertebrae. To facilitate the healing process, screws and rods are used to secure the vertebrae.

The posterior cervical laminectomy and fusion method adopts a minimally invasive approach, which involves small incisions and limited disruption to the muscles and soft tissues.

Before Surgery

Before your procedure, your physician will discuss the surgical process with you, elucidating its advantages and hazards, as well as responding to any other surgery-related inquiries you may have. Moreover, you must obtain medical clearance from your doctor before undergoing the surgery. To appraise your medical state, blood tests, X-rays, or other imaging examinations may be necessary.

After surgery

Once the surgery is completed, doctor will move you to recovery room. Your vital signs will be closely monitored under the supervision of medical staff. It is normal to experience slight discomfort at the incision site. Some patients may also experience neck or back muscle spasms, or other related symptoms. The surgeon will recommend a cervical brace to help stability and support while you heal.

Risks and complications

Just as all major surgical procedures have some risks, this procedure also has risks. Some of the common risks of multilevel posterior cervical laminectomy and fusion include nerve injury, infection, risks of anesthesia, bleeding, and fusion failure.

Final results of surgery may vary from one patient to another. In most cases, patients find improvement in their hand function and walking capabilities post surgery.

After Care At Home

At Neuro Spine & Pain Center, our surgical team offers patients who have undergone a posterior cervical laminectomy and fusion detailed guidance on post-operative self-care and expectations after hospital discharge. This advice comprises instructions on pain management, medication, the appropriate care of braces/collars/halos, diet and the management of constipation, wound care and bathing, activity restrictions, and scheduled follow-up surgical appointments. Our medical professionals and support staff always welcome and prioritize patients' inquiries, ensuring that all their concerns are comprehensively addressed.

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