Posterior Cervical Laminectomy / Laminoplasty
Cervical Laminectomy/Laminoplasty, +/- foraminotomy
Cervical myelopathy(weakness and balance disturbance) due to spinal cord compression, multilevel compressive radiculopathy
Special preparation for surgery
Imaging of area, MRI +/- CT scan
Stop all blood thinning medications including aspirin, warfarin, clopidogrel.
Stop HRT and oral contraceptives. Stop some herbal medicines.
You will be advised when to stop these medications.
Admission to hospital
On day of surgery
Patient lies prone (face down) on a special spinal table and wears a Mayfield skull traction holding system
Details of operation
A midline incision is made at the back of the neck. Dissection is achieved to expose the bones of the posterior arch of cervical vertebrae to be decompressed. For the laminectomy the lamina and spinous processes are removed, for the laminoplasty, the lamina are elevated away from the spinal canal. Fusion is performed using lateral mass screws and rods if there is potential cervical instability.
Length of surgery
Urinary catheter required
Post-operative drain required
Post-operative iv fluids (drip)
Mobilization after surgery
Length of stay in hospital
Post hospital recovery
2 weeks of gentle rest followed by 2 weeks gradually increasing to normal daily activities and a further 2 weeks of increasing to full activity level. Leave strenuous activities until after 6 weeks.
Return to driving
Return to work