Posterior cervical laminectomy and fusion can be performed when there is significant pressure on the spinal cord and spinal nerve roots from cervical stenosis.
Extensive compression of the spinal cord and nerve roots may result in severe symptoms of pain in the neck and arms as well as numbness and tingling in the arms or hands.
The surgical incision is made in the center of the back of the spine. The length of the incision varies with the number of vertebrae involved. An operating microscope is then used to carefully remove the bone and ligaments that are compressing the spinal cord. This is the decompression portion of the procedure (the laminectomy).
When the bony structures that are causing compression are removed it is then necessary to stabilize the spine so that it may maintain its intended alignment. Small specially designed metal implants are then placed in order to help stabilize the spine as the body lays down its own new bone as part of the healing process (the fusion).
This procedure removes a section of bone from the rear of one or more vertebrae to relieve the painful and disabling pressure of stenosis. The spine is then stabilized with rods and screws.
Once surgery is complete the patients will spend a few hours in the surgical recovery area for monitoring.
- Patients will spend one or two nights in the hospital, where they are able to walk immediately and work with a physical therapist.
- A neck brace may be provided in certain instances to help support the neck.
All surgical patients at Comprehensive Spine Care are provided with medications prior to the date of surgery with instructions on their post-operative usage. Wound care, medication and diet instructions for after surgery are also provided upon discharge from the hospital and are also available here.