Posterior Cervical Surgery
Laminectomy involves removal bone and ligaments around the dorsal (back) of the spinal cord, thus increasing the space available for the spinal cord. If there is significant underlying degeneration in the cervical spine, instrumentation (lateral mass or pedicle screws may me required).
This operation is most commonly performed to relieve compression of the spinal cord as well as the nerves of the cervical spine (myeloradiculopathy) . This compression may manifest in balance difficulties, a lack of coordination, impaired dexterity, fatigue , pain and heaviness in the upper limb amongst other symptoms.
The condition is diagnosed with a history an physical examination and corroborated with medical imaging of the cervical spine including an MRI scan.
Non -Operative Treatment
Non operative treatment includes , pain-killers, physical therapy and local anaesthetic and corticosteroid injections.
The technique involves and incison in the back of the neck, the length of which is predicated on the number of segments involved, a dissection towards the vertebral column and a precise resection of bone and ligaments to relieve the pressure on the spinal cord and nerves. Instrumentation (screws and rods may be utilised as required. The spinal cord and nerves are monitored with electrophysiological monitoring to minimise risk.
Post operative Care
Link: generalised advice
Link: specific post operative guidance