Laminoplasty Spine Surgery
Cervical stenosis can place pressure on the spinal cord in the neck region. The result of pinching of the spinal cord can be an insidious loss of coordination, loss of balance during walking, and even bowel and bladder incontinence.
If most of the compression is in the back, this condition can be treated with a posterior cervial laminectomy. The objective of this procedure is to remove the lamina (and spinous process) to give the spinal cord more room. The spinal cord is especially sensitive to injury, and once the progression of pinching leads to significant loss of function, this function may not be reversible even with removal of the offending agent(s).
After Surgery
If the surgery simply prevents progression of the spinal cord damage (myelopathy) and there is no loss of function due to the surgery, both the patient and surgeon should consider it successful.
Patients will feel some pain after surgery, especially at the incision site. While tingling sensations or numbness is common, and should lessen over time, they should be reported to the doctor. Most patients are encouraged to be up and moving around within a few hours after surgery. After surgery, your doctor will give you instructions on when you can resume your normal daily activities.
Outcome
The results of the surgery are variable since some people have more extensive disease than others.
In general, after the surgery most patients can expect to regain : -
- Some spinal cord function.
- Improvement in their hand function and walking/balancing capabilities.
- Surgery is very effective in reducing the pain in the arms and shoulders caused by nerve compression. However, some neck pain may persist.
- Decreased numbness in the hands (if there was a lot of numbness prior to the surgery, it probably won’t go away completely).
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