Spinecare Topics
Surgical Interventions
An operative procedure where the neurosurgeon removes the back portion (posterior portion) of the bone (vertebra) or bones (vertebrae) of the spine. The neurosurgeon makes an incision in the middle of the neck/back/low back and the muscles are held to either side. The bone you can feel as a bump at the back of the neck/back/low back is called the spinous process of each vertebra. It is like the peak of a roof and the entire roof is called a lamina. During a laminectomy the neurosurgeon removes both sides of the roof, including the peak of the roof. Subsequently, the neurosurgeon can see the inside of the tunnel (spinal canal) that runs down the middle of spine.
A laminectomy is like removing the roof of a house and looking inside the house. The spinal cord, the cable-like connection from the brain to the rest of the body, can be seen, as can the nerves that come off of the spinal cord (nerve roots). These nerves are like wires coming from the cable and going to all parts of the body. The neurosurgeon then can operate on or around the spinal cord and/or nerve roots. Most often a laminectomy is done by the neurosurgeon because a disc or disc material is pressing on the spinal cord and/or nerve roots. If the operation is performed on the neck, it is called a cervical laminectomy. If the operation is performed on the spine below the neck and above the low back, it is called a thoracic laminectomy. If the operation is performed on the low back, it is called a lumbar laminectomy.
Laminotomy
If the neurosurgeon just makes a hole in the lamina rather than remove more bone, the procedure is called a laminotomy. The neurosurgeon only removes enough bone to accomplish the procedure and sometimes it is just a hole in the back of the bone of the spine (laminotomy).
360-Degree Fusion/Anterior-Posterior Fusion
This is an operative procedure used to join two or more bones (vertebrae) of the spine together permanently by doing a procedure at the back of the spine (posterior fusion) as well as a procedure on the front of the spine (anterior fusion). The neurosurgeon may do both procedures under the same anesthesia or do the procedures on different days.
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