minimally invasive laminoplasty spine surgery in india | best spine surgery hospitals in india

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Laminoplasty Surgery in India

Laminoplasty is a surgical procedure carried out usually in the vertebrae of the neck region to decompress the spinal cord in case of narrowing of the spinal canal in this region. The procedure is usually performed in the neck region but can also be performed in the thoracic (mid back region) or the lumbar region(low back region).It is also called “Open Door Laminoplasty” as the back of the vertebrae is made to swing open like a door (hinged at one end and open at the other end). Laminoplasty aims at decompressing the spinal cord and the spinal nerves, by hinging open the vertebrae posteriorly. The lamina (flat arch on the backside of the vertebral body) is cut open on one side and grooved on the other side to keep it hinged to the main body of the vertebra. This creates more room for the spinal cord and nerves. Any compressing structure like a herniated or fragmented disc, or bony spurs, thickened ligament etc are also removed in this procedure. The advantage of this procedure is that the stability of the spine is maintained as the amount of bone and muscle tissue that is removed is very less, and any fusion surgery of the spine is avoided.

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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 is it done?

The laminoplasty procedure involves "hinging" one side of the posterior elements of the spine open relieving pressure on the spinal cord.First, an incision is made in the back of the neck. Retractors are used to hold the fat and muscle away from the lamina (bone). Instead of removing the bone and other compressive structures, the bone overlying the spinal cord is thinned out on one side with the use of the drill. The other side is cut all of the way through with the use of a drill. This creates a hinge on one side of the lamina and a small opening on the other side.  The lamina is then hinged open and moved into the “open” position by elevating the lamina on the open side.  This vastly increases the space available for the spinal cord and takes the pressure off of it.  Once this is done, the spinal cord can move away from whatever was compressing it including disc herniations or bone spurs. The bone is held open in the hinged position with the use of metal plates.Sometimes a drain is left in place and brought through the skin at a separate site in order to monitor for continued bleeding (this is typically removed the following day). The operation is completed when each layer of the incision is closed with absorbable or non-absorbable suture material (stitches) or surgical staples. If the outer incision is closed with staples or non-absorbable sutures, they will have to be removed after the incision has healed.

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What is its goal?

The goal of laminoplasty in treating “cervical spondylotic myelopathy” is to relieve the narrowing of spinal canal. This procedure immediately relieves pressure by creating more space for the spinal cord and nerve roots. The cervical canal narrowing can result in numbness, pain and weakness of limbs, as well as difficulty in walking and if left untreated, even paralysis. The main goal is to prevent further worsening in neurologic function.

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FAQ - Spine Surgery and Treatment in India

What are the benefits of getting Spine Surgery in India?Spine Hospitals in India are equipped with the most advanced medical treatment. They have the most extensive Spine -diagnostic and imaging facilities including Asia’s most advanced MRI and X-rays technology. Personalized care and attention is provided with value added services besides results of world class standard at a very low cost affordable to all sections of society.

Which is the Best Hospital in India for treatment of Spine?India has not one but many better than the best hospitals for Spine r treatment. Mail us your medical report and we will find the hospital most suitable to treat your medical condition.

Is it safe to get Spine Treatment and Surgery in India?The medical fraternity in India is famed for excellence, and leads in Spine surgeries. Thousands of Spine operations are performed in India each year with maximum success rate, making the safety obvious.

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