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Decompressing spinal cord by Laminotomy

Laminotomy is a surgical procedure that helps in decompressing the spinal cord and spinal nerves emerging from vertebral column. The main aim of a laminotomy is to remove any structure narrowing the spinal canal

and also to release the entrapped nerves. A small incision is made in the lamina in this procedure. In laminectomy, entire disc is removed. Thus without compromising with the spinal stability, laminotomy procedure achieves decompression of spinal cord.


Vertebral column consists of 33 small bones called vertebra. Each vertebra has a basic structure comprising of a body anteiorly (in front) and a vertebral arch posteriorly (behind).

  Decompressing spinal cord by Laminotomy

The vertebral arch consists of two transverse procedures that project sideways, two pedicles (flat bone between body and transverse process), lamina (flat arched bone between the transverse process and the spinous process) and the spinous process (backward projection). The vertebral arch encloses the spinal canal which lodges the spinal cord.


Any space occupying structure within the spinal canal like herniated or bulging disc, thickened ligament, osteophytes (bone spurs), facet joint thickening can compress the spinal cord resulting in pain, numbness, tingling and weakness of the hand or legs. In extreme cases loss of bowel and bladder control is also observed. Laminotomy aims at making an incision in the lamina, to remove a small part of it, creating room for the spinal cord within the canal. This relieves the compression and thus the symptoms disappear. Through the hole in the lamina, the thickened ligament or disc fragment which may be compressing the cord and nerves are also removed.

Spinal Surgery India  

Patients suffering from ankylosing spondylitis, degenerative disc disease, herniated disc, sciatica, spinal stenosis, spondylitis, spina osteoarthritis for a prolonged duration are the ones who would be going for a spinal laminotomy procedure. The patient should be suffering from these conditions for a considerably long period of time and without any substantial relief from medications, rest or physical therapy.


Laminotomy for decompressing spinal cord in India

Laminotomy is essentially a minimally invasive endoscopic surgery. The operation is carried out after giving local anesthesia. Patient is made to lie down on abdomen. An incision is made in the midline on

the back over the involved segments as suggested by X-Ray and patient symptoms. A round tube is inserted into the incision. Gradually, a small series of tubes are placed over the initial tube slowly increasing in size to make an opening for access to the spine. The final working tube will be about 18 millimeters in diameter which the surgeon will use to insert the laser, camera, suction, irrigation and other surgical instrument. With this minimally invasive method, the muscles are pushed aside instead of being cut or torn.


After the working tube is placed the surgeon will perform the surgery. Patients undergoing laminotomy feel instant relief as the surgeon releases the entrapper nerves. Symptoms of back and leg pain are resolved by decompressing the spinal canal.


When the surgeon is finished with the procedure the tube is slowly removed, allowing for muscles to naturally shift back to normal positions.


Heal & Wheel’s set of hospitals have the best healthcare team required for such specialized procedures. They have a wel equipped operation theatre with high standards of hygiene. They have all the specialized instruments like endoscopes, microcamers, tubes, excellent diagnostic centers with CT, MRI, digital X-ray facilities etc required for the procedure.


Heal & Wheel India’s role in your surgical trip …
Post operative care is very essential in this surgery. Patients may sometimes require some stitches and after a few hours of monitoring, are allowed to leave. Heal & Wheel ensures through regular follow up that all the guidelines given be physical therapist are followed like various techniques of walking, sitting and lifting to avoid any strain on the back for first few weeks The therapist also explains a set of exercises for the back to increase strength and endurance which are to be performed gradually as the incision pain subsides.

Before coming to India for the surgery you will be in constant communication with our expert panel of surgeons here in India, They will advise you to lose weight if you are overweight. Every minute detail will be taken care off before and after the surgery for example placing things within reach in your house, usage of raised toilet seats, shower table etc.

Heal & Wheel understands your emotional needs as much as your physical ones. Thus what we work hard to provide is peace of mind. With significant experience and expertise in medical procedures. Heal and Wheel ensures you best quality medical treatment at most competitive prices coupled with the best recuperation vacation. We have tied up with the best in the Indian healthcare industry and deal only with internationally reputed experienced doctors with brilliant professional case histories.

We understand that security and hygiene are your utmost concerns. We have taken measures to ensure you the most hygienic and secure environs while you are with us in India. Heal and wheel is also famous for its excellent pre and post treatment follow up patient care services. We keep all your information confidential while closely following HIPAA standards. We remain in constant communication with your doctor back at home, both before and after your surgery in India.





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