Laminoforaminotomy is a spine surgery performed to treat cervical radiculopathy; a type of neck pain that spreads (radiates) into the upper back, shoulder(s) and down the arm(s). Lamino refers to the spine’s lamina; a thin plate of bone at the back of the neck that helps to protect the spinal canal. Sometimes symptoms are felt in one or both hands. The goal of laminoforaminotomy is to relieve nerve root compression (eg, pinched nerve) and related symptoms. Laminoforaminotomy is generally performed as a minimally-invasive outpatient procedure, done through a “Band-Aid” incision. To learn more about Dr. Stieber's NYC laminoforaminotomy, contact us today.
Dr. Stieber's NYC laminoforaminotomy is performed under general anesthesia. The neck is shaved, cleansed and prepared for surgery. The surgery is generally performed with the patient face down on the operating table. The patient’s skull is held securely in position and the neck immobilized by means of a device made for this purpose. A special computerized monitoring system checks the spinal cord and nerve function throughout the procedure to prevent injury.
The procedure is performed by approaching the spine from behind (posterior) using minimally invasive techniques or as an open procedure (large incision). Dr. Stieber determines which surgical approach is best and discusses the entire procedure with the patient well in advance of the surgery date.
Fluoroscopy (real time x-ray) captures pictures of the patient’s anatomy before, during and after surgery. Whether the procedure is performed open or using minimally invasive surgical instruments and techniques, part of the lamina is removed to expose the tissue compressing nerve structures. Dr. Stieber removes disc, bone, and/or other tissue that is crowding nerves in the neuroforamen. When the procedure is complete, the wound is closed and bandaged.
A “pinched nerve” in the neck will often require surgical intervention to resolve, particularly when radiating pain is caused by the compressed nerve structures. Advances in medical science allows this painful condition to be resolved with minimally-invasive treatment called laminoforaminotomy to remove the tissue compressing the nerve structures.
If a pinched nerve is left untreated, the condition can advance, leading to permanent nerce damage. It is often necessary for treatment to be performed early for a fast and full recovery.
An MRI identifies changes in the spine that have resulted from trauma, disease, or aging. This test can reveal a range of spinal conditions, including the presence of a pinched nerve.
Radiculopathy, or a pinched nerve, is a symptom related to compression on a nerve root. While chiropractic treatment may relieve the symptoms in some minor cases, if the compression is the result of a narrowing of the spinal canal or bone spurs, surgical treatment will often be required.
If left untreated, a pinched nerve can lead to very serious symptoms. The narrowing of the spinal canal that protects the nerves may first lead to pain and discomfort, tingling, numbness or other symptoms. If left untreated, nerve compression can lead to permanent neurologic injury and weakness. It is imperative in these cases that treatment be performed in the early stages to protect your overall health.
Dr. Stieber provides his New York laminoforaminotomy patients with information about what to expect and self-care after hospital discharge. This information includes instructions to control pain, medications, brace use and care (if prescribed), diet and managing constipation, bathing and incision care, activity restrictions, and the surgical follow-up appointments. As always, Dr. Stieber and his staff welcome questions and ensure that all patient concerns are thoroughly addressed.
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