How is laminectomy of the spine and the postoperative period
Laminectomy of the spine — surgery to remove part of the vertebra
Spine diseases are still one of the most frequent ailments. Some of them can be cured by the therapeutic method, other with massages.
However, there are also such, when the only chance for recovery becomes surgery. The most common surgical intervention in this region – laminectomy spine.
The essence of the intervention?
The human spine is a complex system of vertebrae, which consist of a round front part and a rear arc. Together, they create the spinal canal to protect the spinal cord.
Any pathology in this area in the first place begins to cause compression of the nerve endings that bind the vertebrae and the whole spine in General.
Laminectomy is a surgery when the arc is removed the vertebrae. As a result, reduced pressure on nerve roots and a noticeable improvement health.
Who needs this surgery
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Surgery to remove part of the vertebra is assigned in cases when other treatments have no effect.
The main indication for reduction surgery is a pinched nerve endings, as well as the narrowing of the spinal canal. This leads to degenerative or traumatic lesions of the spine.
Due to poor ecological situation and uploaded the rhythm of life the list of indications is expanding constantly.
Indications for surgery:
- Intervertebral hernia, which is large. Thanks to the intervention can safely get to the affected area.
- Sometimes, the vertebrae and the arcs formed bony growths that must be removed.
- The tumor and adhesions.
- Spontaneous pinching of the spinal cord, as well as the consequences to which it might lead.
To understand whether laminectomy and whether her testimony is very important to recognize the symptoms.
Usually, symptoms occur symmetrically on both sides of the spine. When the pressure is on the spinal cord, patients complain of numbness of the extremities. They happen most often weakness and pain in legs, especially after a long stay in one position.
Gradually the situation is aggravated and begin to suffer other organ systems: urinary incontinence and malfunction of the intestine, and in some cases, and in the genital area.
At pathologies affecting the nerve roots causing severe pain, which may be given in the extremities. All symptoms should be checked by a specialist conducted a detailed study and only after that becomes clear, whether indications for surgery or not.
One of the most common types is hemilaminectomy.
In this type of surgery removes the shackle of a single vertebra.
There is also a method interlaminar laminectomy, when it affects the yellow ligaments and parts of the arcs adjacent vertebrae. The heaviest option is a bone-plastic type.
Here the defect of the spine or damage after injury superimposed special patch from autotransplanted.
In some cases, for successful treatment it is necessary to know how corrupted the spinal cord and to do this, hold a trial laminectomy.
The procedure is forbidden!
Like any surgical intervention, it has its own contraindications, which may affect the health and life of the patient.
In order for therapy to be successful you should know who can have this procedure and who does not. During surgery the body is exposed to stress, it is not recommended to hold it during illness.
As the weakened immune system will not be able to cope with infections and may appear different complications.
Pregnancy is a clear contraindication to surgery, because of the likelihood of premature birth and threatened abortion in small time.
Diabetes, diseases of the blood and blood not clotting the most common reasons for postponed or even cancelled a surgery.
Before any operation an important indicator of overall health, especially his cardiovascular system.
After anesthesia, people with heart disease, harmful, and to carry out any intervention impossible.
How is surgery on the spine
This surgical intervention is performed only under General anesthesia.
Moreover, the incision should be placed over the affected area of the spine along the spinous processes. Its size rarely exceeds 3 cm. During surgery, the surgeon uses special equipment, which expands the incision without increasing its size.
Once the vertebrae are in the availability of the necessary type of laminectomy, depending on the situation and evidence.
Next is the procedure of suturing the incision or other manipulation is necessary.
The postoperative period
Any intervention has on the human body a huge impact, and it cannot remain without consequences.
When performing a laminectomy may have different consequences, which can cause various health.
Often have orthopedic complications, such as instability of the spine.
This diagnosis is accompanied by damage to the facet joints between the vertebrae. This leads to severe pain, repeated compression.
In order to prevent this from happening, especially if the operation was carried out on the lower back of the patient using special equipment to stabilize. In some cases, you may be developing an infection in the wound, open bleeding.
All the complications can lead to paralysis or just not have the desired effect and all the symptoms will remain. Helps to avoid this well-conducted rehabilitation. After surgery, the patient needs especially careful care.
Not to bring the case before surgery need to monitor their health. And if there were problems don’t need to self-medicate, and should consult experts for timely treatment.
It will help you to pay attention to the advice of doctors and to follow all their recommendations.