Laminoplasty Surgery in India
Neurology is a segment of medical science that specializes in the study of the nervous system. It deals with diagnosis, prevention and treatment of the ailments and sicknesses related to the nervous system. There are three categories of neuro systems i.e. the central nervous system (brain and spinal cord), the peripheral nervous system (nerves and muscles) and the autonomous nervous system (roots, plexus, and nerve trunks). The analysis and treatment (medicines or neurosurgery) of neurological disorders are determined by the stage of the disease and the condition of the affected body areas.
Types of Neurosurgery Surgery Treatment
- Carotid endarterectomy
- Brachial Plexus Surgery
- Cerebrovascular Disease
- Microsurgical Discectomy
- Peripheral Nerve Surgery
What is Laminoplasty?
Laminoplasty surgery in India is an orthopaedic/neurosurgical surgical process for adept treatment of spinal stenosis which is done by relieving the pressure on the spinal cord. The process encompasses cutting the lamina on both sides of the affected vertebrae (cutting through on one side and simply cutting a groove on the other) and then “swinging” the unconstrained flap of bone open consequently relieving the pressure on the spinal cord. The spinous procedure might be removed to let the lamina bone flap be swung open. The bone flap is then buttressed open using small wedges or pieces of bone such that the inflamed spinal canal will remain in place.
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What is the goal of Laminoplasty surgery in India?
The goal of laminoplasty is to release the stress from the narrowing of spinal canal. The procedure immediately relieves the pressure with making more space for nerve roots and spinal cord. The narrowing of cervical canal narrowing can result in severe numbness, pain as well as weakness of limbs, It can go as far as paralysis if left untreated. The major goal of Laminoplasty surgery in Delhi, India is to ensure that no further neurological damage affects the surgical portion.
How is it done?
The Laminoplasty Surgery in the Hospital involves “hinging” one side of the posterior which makes pressure on the cord.
First, an incision is administered upon in the back of the neck. Retractors are the one which are used to hold down the fat and the muscle away from the bone. Instead of getting rid of the bone and the related compressive structures, the bone which overlays on the spinal cord is thinned out using drill on either one or both sides. The bone is then held open in the hinged position with utilizing metal plates.
What are the risks?
There are always risks with any surgery. Potential complications may include:
- Pain, numbness due to nerve manipulation
- Weakness, paralysis due to spinal cord or nerve root damage
- Bowel/bladder incontinence or impotence
- Cerebrospinal fluid leak
- Recurrence or continuation of pain.
- Bleeding/injury to major blood vessels
- General anesthetic complicationsWhat is the success rate?
The success rate of a laminoplasty to alleviate pain from cervical spinal stenosis is generally favorable. The best prediction of a patient’s post-operative outcome is their pre-operative baseline functional level. Some patients may have some improvement in function after the surgery; however, the goal of the surgery is to prevent the worsening of neurologic function or paralysis – not to improve function.
How long will I stay in the hospital?
Each patient heals from surgery differently but generally patients are in the hospital for one to two days following laminoplasty. The main complaint after this kind of surgery is pain in the back of the neck. This pain can be quite severe for several days after surgery, and it then gradually improves over several months. Each individual patient’s mobilization (return to normal activity) is largely dependent on his/her pre-operative condition and age. Patients are encouraged to walk directly following a laminoplasty; however, it is recommended that patients avoid excessive bending, lifting or twisting for several weeks after the surgery in order to avoid breaking the sutures before the wound heals completely. If a drain is placed during surgery this will most likely be removed the following day. Typically you will be able to go home once your vital signs are stable, you can walk on your own, you can eat without having nausea, and you have resumed normal bladder activity.
What can I expect after I am discharged?
You will be rendered some instructions on the day of your discharge here are some of the inclusions of it:
- Go out on daily walks, increase the time and distance with time gradually. Avoid and don’t indulge in sitting or lying for extremely long periods as this would turn out to be the cause of pain and stiffness which will affect the body.
- Try and take in between breaks, don’t overtire yourself with over working.
- Avoid driving after taking any sort of pain medication.
- Don’t carry heavy items or equipment.