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Cervical spinal stenosis is one of the most common forms of spinal stenosis, along with lumbar spinal stenosis (which occurs at the level of the lower back instead of the neck). Thoracic spinal stenosis, at the level of the mid-back, is much less common. [2] Cervical spinal stenosis can be far more dangerous by compressing the spinal cord.
Laminoplasty is a surgical procedure that has been developed as an alternative to cervical laminectomy, which is used to treat cervical myelopathy. Laminoplasty reconstructs the vertebral lamina to decompress the spinal cord. The term laminoplasty means, "to create a hinge to lift the lamina." [1]
Lumbar stenosis is the most common, followed by cervical stenosis. [2] Diagnosis is generally based on symptoms and medical imaging. [4] Treatment may involve medications, bracing, or surgery. [6] Medications may include NSAIDs, acetaminophen, anticonvulsants (gabapentinoids) or steroid injections.
Cervical canal widening can be temporarily achieved by the insertion of dilators into the cervix. If the stenosis is caused by scar tissue, a laser treatment can be used to vaporize the scarring. [5] Finally, the surgical enlargement of the cervical canal can be performed by hysteroscopic shaving of the cervical tissue. [6]
Spinal stenosis is the single most common diagnosis that leads to spinal surgery, of which a laminectomy represents one component. The lamina of the vertebra is removed or trimmed to widen the spinal canal and create more space for the spinal nerves and thecal sac .
A laminotomy is an orthopaedic neurosurgical procedure that removes part of the lamina of a vertebral arch in order to relieve pressure in the vertebral canal. [1] A laminotomy is less invasive than conventional vertebral column surgery techniques, such as laminectomy because it leaves more ligaments and muscles attached to the spinous process intact and it requires removing less bone from the ...
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