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Spinal decompression is the relief of pressure on the spinal cord or on one or more compressed nerve roots passing through or exiting the spinal column. [1] Decompression of the spinal neural elements is a key component in treating spinal radiculopathy , myelopathy and claudication .
This surgery usually is shorter than other spinal decompression procedures by having an average duration of 70–85 minutes, whereas other decompression surgeries can have a duration anywhere from 90 to 109 minutes. Laminotomies are usually more cost efficient than other surgical decompression surgeries.
The traditional technique for decompression of lumbar nerves is laminectomy, a surgical procedure developed in the early 1900s. In laminectomy , the paraspinal muscles are dissected off the spine bilaterally, that is on the left and right sides of the spinal column.
Spinal decompression is the main surgical intervention and is the most common back surgery in patients over 65. [1] Other forms of surgical procedures include: laminectomy, microdiscectomy and laminoplasty. [8] [11] Patients with minor symptoms are usually advised to undergo physical therapy, such as stretching and strengthening exercises.
The device can be implanted after a standard decompression by removing the lamina and medial facets in a "posterior arthroplasty" procedure. [3] The TOPS System replaces the bony and soft tissue removed during spinal decompression surgery and implants them at the affected spine segment to aid the patient's flexibility. [4]
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