Posterior Cervical Laminoplasty

In this video, we’ll be discussing posterior cervical laminoplasty, a powerful technique for selected patients suffering from spinal cord compression.
Throughout the video, we’ll provide insights into the anatomy and structure of the cervical spine to help you understand how symptoms present in the body. We’ll also discuss the characteristics of symptoms that can exist with congenital stenosis and the unique advantages of laminoplasty in preserving motion and avoiding fusion.
✅ Full Course: • Video
DISCLAIMER
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The Video Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have viewed on this channel.

[@samsungleung6434]

any risks that the screws will be loose or dropped inside the body after a few years？

[@prasadspineacademy]

Nope. I've never seen or heard of that. -SP

[@cecilyecily]

My surgeon has recommended laminoplasty from c2 -c7 as well as a c1 laminectomy. I have congenital stenosis with myelopathy and skull is catching on c1. Is this safe?

[@prasadspineacademy]

Seems like a reasonable plan. Obviously i can't give you specific guidance on whether this makes sense without evaluating you and your imaging but, based on what you describe, this seems like a fair plan. thanks, -SP

[@joy_yip_realtor]

Would I be a candidate for this surgery? Assessment: quite severe degenerative stenosis C4-5 with AP diameter 2.1mm, with significant ossification of posterior longitudinal ligament. My doctor wants to do “Given the degree of her stenosis, recommend surgery to decompress her spine. She has significant OPLL, necessitating a posterior approach: The following surgery is strongly recommended: C2-T1 PSF, with C3-7 laminectomies.”

[@AndrewPilayan-zr5xb]

DOCTOR I HAD A C3 TO C6 SURGERY. WHY DO I STILL HAVE Numbness IN MY FEET AND HANDS. WILL IT NEVER GO AWAY.

[@prasadspineacademy]

Hi Andrew, I'm afraid I can't comment on your specific clinical circumstances. In general numbness is the last thing to get better and, unfortunately, is the least likely/complete thing to recover. I'm not sure how long it has been for you but all we can do is give it time. Good luck! -SP

[@ImranAhmed-ch7yc]

can a patient stay without any laminoplasty surgery. what is the risks of not doing any surgery,

[@prasadspineacademy]

It depends a lot on your symptoms. If you have symptoms of myelopathy there is a risk of progression. The goal of a surgical decompression (like a laminoplasty) is to reduce the risk of progression. If you find that your symptoms are worsening then it is usually advisable to proceed with surgery. Obviously I can't comment on your specific circumstances -- these are general principles. Good luck, SP