When pressure on the nerves of the neck is causing discomfort for a patient, especially in instances where the concerns have progressed beyond numbness and tingling, it’s possible that a posterior cervical laminotomy may be deemed appropriate. This procedure removes pressure on affected nerves by removing the portion of the lamina, the arched or flattened part of the arch of the vertebrae, that is causing the symptoms. Differing from laminectomies in that only the portion of the lamina that is at fault is removed, rather than the whole lamina, laminotomies get preference when they are appropriate.
What Is Cervical Stenosis?
Stenosis is a condition defined as the narrowing of the channels nerves travel down in the body. Stenosis becomes a problem when this puts pressure on the nerves and spinal cord resulting in symptoms ranging from merely irritating, such as numbness and tingling, too dangerous, including loss of the ability to walk and bladder control issues.
How Can A Cervical Laminotomy Help?
The pressure caused by stenosis results from bony spurs that have grown on the lamina putting pressure on the nerves in the cervical portion of the spine. Laminotomies remove the part of the lamina that is stressing the nerve, relieving pressure and bringing relief to the patient. Laminotomies leave a significant portion of the lamina behind, preserving the health and structure of the body.
Are Bone Spurs The Only Things That Can Cause These Symptoms?
It is also possible that the symptoms indicated, numbness, tingling, etc., can be caused by pressure placed on the nerve from a herniated disc, or if the spine becomes misaligned. Treatments exist in both these cases, and it isn’t uncommon for a discectomy, the removal of a herniated or fractured disc, to take place during the laminotomy. In these cases, spinal fusion will often also be performed to support the vertebrae adjacent to the discectomy site.
How Is A Laminotomy Performed?
Laminotomies take place under general anesthesia, a form of anesthesia that renders the patient unconscious for the duration of the procedure. The procedure begins with an incision made in the posterior or rear portion of the neck, allowing the insertion of specialized surgical equipment designed to remove the target portion of the lamina with incredible accuracy. During this part of the procedure, a discectomy will be performed if necessary, followed by a spinal fusion procedure. You will be informed by your physician before the procedure if these are required. A cervical collar will typically be worn for a short period after the surgery to support recovery.
Posterior cervical laminotomies are routine procedures that are performed safely every day, providing much-needed relief to patients suffering from chronic symptoms related to stenosis. If you suspect you may be suffering from symptoms associated with cervical stenosis contact the Khavkin Clinic for a consultation and exam. During the exam, assessment of your condition will take place and a determination made regarding the proper treatment for your case. If a posterior cervical laminotomy is determined to be appropriate for your situation, your pain management doctor in Las Vegas, NV will begin a treatment plan for you in preparation.