Cervical Micro-Laminotomy/Discectomy

Neck pain can be one of the worst types of pain. Neck pain that does not respond to non-surgical treatment may require surgical intervention. A cervical micro-laminotomy/discectomy is a minimally invasive spine surgery (MISS) that is used to treat various conditions that cause neck pain. Patients who undergo a cervical micro-laminotomy/discectomy recover quickly and experience significant symptom relief or symptom elimination.

The Procedure

A cervical micro-laminotomy/discectomy is performed under general anesthesia. A board-certified anesthesiologist administers anesthesia and monitors patients to make sure they are completely asleep and can feel no pain. An orthopedic spine surgeon performs the procedure using the following steps:

  • Incision. A small incision is made over cervical vertebrae that will be operated on.
  • Exposure. Soft tissues are gently retracted to expose the cervical spine.
  • Visualization. Microscopic equipment is used to visualize vertebrae, the spinal cord, and spinal nerve roots.
  • Laminotomy/Discectomy. Microscopic instruments are used to carefully remove pieces of vertebral bone and/or intervertebral disc that are pinching the spinal cord and/or nerve roots.

Sutures are used to close the incision and sterile dressings are used to cover it. A neck brace is placed on patients to immobilize the neck and ensure healing. Total procedure time is approximately one to two hours.

Recovery

Many patients recover in as little as four weeks. For others, more time may be necessary. The main advantages of MISS are the following:

  • A faster recovery
  • Less post surgical pain

These advantages are made possible because the tiny incision and special instruments used to perform minimally invasive spine surgery damage the muscles and soft tissues of the neck to a much lesser degree than traditional spine surgery procedures.

Results

Following the procedure, the cervical spinal canal is wider and the spinal cord and/or nerve roots are no longer compressed. Patients experience significant symptom relief in regards to the following:

  • Neck pain
  • Upper extremity pain
  • Neck and/or upper extremity tingling, numbness, weakness
  • Loss of fine motor control in the hand

Patients who do not smoke, adhere to the advice of their orthopedic specialist and physical therapist, and live a healthy lifestyle can look forward to long lasting results.

Conditions Treated

A cervical micro-laminotomy/discectomy is used to treat conditions that narrow the spinal cord. The most common conditions include the following:

  • Spinal stenosis
  • A herniated disc
  • Degenerative disc disease

These advantages are made possible because the tiny incision and special instruments used to perform minimally invasive spine surgery damage the muscles and soft tissues of the neck to a much lesser degree than traditional spine surgery procedures.

 

Questions?

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