Posterior extradural laminotomy is a Spine Surgery.
Pressure can be placed on the spine by cervical stenosis.If most of the compression is in the back, a laminectomy can be done.
The aim of this procedure is to remove the spinous process from the spine.
Some people have more extensive disease than others, so the results of the laminectomy are variable.Most patients can expect to regain after the laminectomy.
If the back surgery prevents the progression of myelopathy and there is no loss of function, both the patient and spine surgeon should consider it a success.
The main risk is the decline in neurological functioning after the back surgery.
The function of the spine is monitored during surgery to help manage the risk.In order to record the length of time it takes the signal to get to the brain, SSEP's generate a small electrical impulse in the arms/legs.The length of time may indicate a compromise of the spine.
Sometimes laminectomies are done with a fusion surgery.There is a post-operative risk of developing instability if a laminectomy is done without a fusion.
In order to reduce the risk of post-operative instability and to avoid a spine fusion, some spine surgeons will recommend lifting the lamina on one side and leaving a hinge on the other side.
Artificial discs can be used when you need neck surgery.The range of motion is maintained by this option.