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John Knightly, MD, FAANS

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Scott A. Meyer, MD, FAANS

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Jonathan J. Lee, MD

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Michael Rudman, MD

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Terrence Welsh, MD

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Gautam Malhotra, MD

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Joseph Rempson, MD

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Megan Filoramo APN-C

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Monica Kleban DNP

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Gina Rizzo APN-C

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Kimberly Leinker APN-C

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Brielle Cook APN-C

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Procedure Thoracic

Lumbar Procedure

Cervical Procedure

Condition Thoracic

Condition Lumbar

Condition Cervical

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Posterior Cervical Laminectomy/ Fusion

Posterior Cervical Laminectomy/ Fusion

Cervical posterior laminectomy is a surgical procedure performed on the cervical spine, specifically the neck, to address issues related to spinal cord compression or nerve root compression. In this procedure, the surgeon removes a portion of the vertebra called the lamina, which is the bony arch on the back of the spine. This removal creates more space for the spinal cord and nerves, relieving pressure and reducing symptoms.

 

The surgery is typically performed through the back of the neck, and it aims to alleviate conditions such as spinal stenosis, herniated discs, or other abnormalities causing compression in the cervical spine. The removal of the lamina is known as a laminectomy, and it allows the surgeon direct access to the affected area. The procedure is designed to decompress the spinal cord and nerves, addressing symptoms like neck pain, arm pain, numbness, or weakness. After the laminectomy, the spine may be stabilized using additional procedures such as spinal fusion, depending on the extent of the surgery and the condition being treated.

Once the necessary adjustments are made, bone grafts are often used to facilitate the fusion process. The grafts may be taken from the patient’s own body (autograft) or obtained from a donor (allograft). Additionally, metal plates, screws, or rods may be utilized to stabilize the spine and facilitate the fusion of the vertebrae. The primary goal of cervical posterior fusion is to create a stable and fused segment of the spine, preventing abnormal motion and alleviating symptoms associated with spinal instability. This can include neck pain, arm pain, and other neurological symptoms. The procedure aims to restore structural integrity to the cervical spine and improve the overall quality of life for individuals experiencing cervical spinal issues The goal of cervical posterior laminectomy and fusion is to improve the patient’s overall quality of life by reducing pain, restoring function, and preventing further neurological deterioration.

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Conditions Related To Posterior Cervical Laminectomy/ Fusion

Kyphosis

Kyphosis is a medical term used to describe an excessive outward curvature of the spine, leading to a forward rounding or hump-like appearance in the upper back or thoracic region.

Radiculopathy

Cervical radiculopathy is a condition characterized by compression or irritation of the nerve roots in the cervical spine (neck region). This compression can result in pain, numbness, tingling, or weakness that radiates into the arms.

Myelopathy

Cervical myelopathy is a condition characterized by dysfunction of the spinal cord in the neck region, specifically in the cervical spine. It is often caused by compression or narrowing of the spinal canal, leading to a range of neurological symptoms.

Cervical Stenosis

Cervical stenosis refers to the narrowing of the spinal canal in the neck region, known as the cervical spine. This narrowing can put pressure on the spinal cord and nerve roots, leading to a variety of symptoms.

Headaches

Headaches are a common and often disruptive condition that can vary in intensity, duration, and cause. They can stem from a variety of factors, and understanding the different types of headaches can be crucial for effective management.

Neck Pain/Stiffness

Neck pain and stiffness are common symptoms that many individuals experience at some point in their lives. These symptoms can arise from various causes, ranging from muscle strain to underlying medical conditions.

Herniated Disc

Cervical herniated disc is a condition that occurs when the outer layer of a disc in the neck region tears, causing the inner material to protrude and potentially irritate nearby nerves.

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