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Laminotomy Surgery at Best Spine Surgery Hospitals in India
1. Laminotomy Surgery at Best Spine Surgery Hospitals in India
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Laminotomy Surgery
The laminotomy procedure is a minimally invasive
endoscopic surgery carried out on an out patient
basis.Laminotomy is a surgical procedure that helps to
decompress the spinal cord or the spinal nerves that
emerge from the vertebral column. It is done with aim of
removing any structure that narrows the spinal canal and
free the entrapped nerves.
In this procedure a small incision is made in the lamina as
opposed to laminectomy where the entire lamina is
removed. As a result laminotomy procedure decompresses
the spinal cord without compromising with the spinal
stability.
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When is Laminectomy recommended ?
Laminectomy is recommended when one or more of the following symptoms and
disorders that affect the lower back are seen in the body:
Ankylosing spondylitis
Degenerative disc disease
Herniated disc
Sciatica
Spinal stenosis
Spondylosis (also known as spinal osteoarthritis)
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How does the procedure work?
Laminectomy is performed under general anesthesia, in this
the patient is usually positioned lying on the side or stomach.
Then a small straight incision is made over the damaged
vertebra. And then a retractor is used to spread apart the
muscles and the fatty tissues covering the spine. When the
laminae have been reached, the bony arch is cut in order to
get to the ligamentum flavum (which is a band of yellow tissue
attached to the vertebra that helps to support the spinal
column). Thereby an opening is made in the ligamentum
flavum to reach the spinal canal and then to the compressed
nerve. At this point the cause of compression will be visible
(that may be a herniated disk, tumour, fragmented disk etc)
which is then rectified. This Surgery is completed in one to
three hours.
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Benefits of Surgery
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This surgery is performed by sedating the patient under general anesthesia and
making him lie on his stomach. The head is kept slightly bent with the help of
Mayfield clamp to straighten the skin folds on the neck. A midline incision is made on
the back of the neck corresponding to the affected spinal segment. The skin is cut
open and the muscles are separated to view the involved vertebrae.
The lamina are cut through their thickness longitudinally on one side and grooved on
the other side to keep it hinged to the vertebral body. The posterior part of the
vertebra is swung open like a door. Small wedges made of bone are placed in the
opened space of the door.
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