Laminectomy of the spine - an operation to remove a part of the vertebra

Spine diseases today are among the most common ailments. Some of them can be cured by a therapeutic method, others with the help of massages.

However, there are also those where the only chance of recovery is surgical intervention. The most common surgical intervention in this area is laminectomy of the spine.

What is the essence of the intervention?

The human spine is a complex system of vertebrae, which consists of a round front part and a back arch. All of these together create a spinal canal to protect the spinal cord.

Any pathology in this area first of all starts to cause squeezing of all nerve endings that bind the vertebrae and the whole spine as a whole.

Laminectomy is a surgical procedure when the arch of the vertebrae is removed. As a result, the pressure on the nerve roots is reduced and there is a noticeable improvement in the state of well-being.

Who needs this operation

Surgical intervention to remove a part of the vertebra is prescribed in cases when other methods of treatment do not bring the desired effect.

The main indication for the operation is jamming of the nerve endings of , as well as the narrowing of the spinal canal. This leads to degenerative or traumatic lesions of the spine.

Due to poor environmental conditions and the busy rhythm of life, the list of indications is constantly expanding.

Indications for operation:

1. Intervertebral hernia, which is large. Thanks to the intervention, you can safely reach the affected area.
2. Sometimes on the vertebrae and arcs, bone growths are formed, which must necessarily be removed.
3. Tumors and adhesions.
4. Spontaneous pinching of the spinal cord, as well as the consequences to which this may result.

Symptoms usually appear symmetrically on both sides of the spine. When the pressure is on the spinal cord, patients complain of numbness in the limbs. They often have weakness and pain in the legs, especially after a long time in one position.

Gradually the situation is aggravated and other organs and systems begin to suffer: urinary incontinence and disruptions in the intestine, and in some cases in the genital area.

In pathologies that affect the nerve roots, severe pain occurs, which can be transmitted in the limbs. All available symptoms should be checked by a specialist, a detailed study is conducted and only after that it becomes clear whether there is evidence for the operation or not.

Types of intervention

Gemilaminectomy is considered to be one of the most frequently encountered species.

With this type of surgery, the bow of one individual vertebra is removed.

There is also a method for interlaminar laminectomy when the yellow ligaments and parts of the arcs of adjacent vertebrae are affected. The most difficult option is the osteoplastic type.

Here on the existing defect of the spine or injury after injury is superimposed a special patch from the autograft.

In some cases, for successful treatment, it is necessary to know how much the spinal cord has been damaged and a trial laminectomy is performed for this.

The procedure is forbidden!

As with any surgical intervention, there are contraindications, on which the patient's health and life can depend.

In order for the treatment to be successful, one should know to whom it is possible to carry out this procedure and who does not. During the operation, the body is stressed, it is not recommended to spend it during illness.

Since weakened immunity can not cope with infections, and various complications may occur.

Pregnancy is considered a clear contraindication to the operation, due to the likelihood of premature birth and the threat of interruption at short notice.

Diabetes mellitus, blood diseases and its poor coagulability are the most common reasons why many surgical procedures are postponed or even canceled at all.

After all, anesthesia to people with heart disease is harmful, and it is impossible to conduct any interference.

How is the operation performed on the spine of

This surgical procedure is carried out only under general anesthesia.

And the incision should be located above the affected area of ​​the spine along the spinous processes. Its size rarely exceeds 3 centimeters. During the operation, the surgeon uses special equipment that widens the incision without increasing its size.

After the vertebrae are available, the necessary type of laminectomy is performed, depending on the situation and the indications.

The procedure for sewing a cut or other necessary manipulations is then carried out.

Postoperative period

Any surgical intervention has a huge impact on the human body, and this can not remain without consequences.

When carrying out a laminectomy, there may be different consequences that can cause a different state of the body.

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Most often, has orthopedic complications, such as the instability of the spine.

This diagnosis is accompanied by damage to the facet joints between the vertebrae. This leads to severe pain, repeated compression.

In order for this to happen, especially if the operation was carried out at the waist, the patient with the help of special equipment is stabilized. In some cases, infection can be entered into the wound, bleeding may open.

All complications can lead to paralysis or simply not have the proper effect and all the symptoms will remain. Avoid this helps properly conducted rehabilitation period. After the operation, the patient needs particularly careful care.

In order not to bring the case to an operation, you need to monitor your health. And if suddenly there were problems it is not necessary to be engaged in a selftreatment, and it is necessary to address to experts for timely treatment.

It is worth paying more attention to the advice of doctors and to follow all their recommendations.