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laminectomy

Laminectomy is a surgical procedure in which a portion of the bony arch, or lamina, on the dorsal surface of a vertebra is removed. It is done to relieve back pain that has not been helped by more conservative treatments. Laminectomy is an elective procedure rather than an emergency surgery. Laminectomy is recommended when one or more of the following symptoms and disorders that affect the lower back are seen in the body Sciatica, Spinal Stenosis, Narrowing of the spinal canal compressing the cord, Cauda Equina Syndrome, Herniated disc, Osteoarthritis



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procedure

Laminectomy is performed under general anesthesia in this the patient is usually positioned lying on the side or stomach. And then a retractor is used to spread apart the muscles and the fatty tissues covering the spine. When the laminae have been reached, the bony arch is cut in order to get to the ligamentum flavum (which is a band of yellow tissue attached to the vertebra that helps to support the spinal column). Thereby an opening is made in the ligamentum flavum to reach the spinal canal and then to the compressed nerve. At this point the cause of compression will be visible (that may be a herniated disk, tumour, fragmented disk etc) which is then rectified. This Surgery is completed in one to three hours.

 

  

When is laminectomy recommended?

Sciatica

Spinal Stenosis: Narrowing of the spinal canal compressing the cord

Cauda Equina Syndrome: A rare disorder caused when a broken disk, bone fracture, or spinal stenosis put intense pressure on the spinal nerve roots at the lower end of the spinal cord.

Herniated disc: A herniated disk is a condition when the nucleus ruptures and is forced through the outer annulus into the spaces between the vertebrae. Thereby putting pressure on the nerve roots or compresses the spinal cord itself.

Osteoarthritis: Osteoarthritis is a disorder in which the cartilage in the hips, knees, and other joints gradually breaks down, allowing the surfaces of the bones to rub directly against each other.

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Dr Anubhav Gulati

MBBS, MS (Ortho), MRCS (Edinburgh)
Joint Replacement Surgeon

Dr Anubhav Gulati is a well known orthopaedic and joint replacement surgeon having worked with various hospitals in Delhi, Gurgaon and abroad. Dr Gulati has an experience of more than 17 years as orthopaedic, trauma and joint replacement surgeon. He has been extensively trained in all joint replacement surgeries and trauma surgeries like nailing, plating, fixation, poly trauma, multiple fractures etc.

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Dr Vikas Kathuria

MBBS, MS, M.Ch (Neurosurgery)
Spine & Brain Surgeon

He has specialization in performing spine surgeries for nerve decompression, disc replacement, fixation, fusion and spinal tumour surgeries. Dr Vikas Kathuria has an experiencee of more than 7 years as a neurosurgeon. Before joining GNH Hospital Dr Kathuria has worked with some of the best hospitals like Paras Hospital, Gurgaon and has been Asst Professor Neurosurgery at PGI Rohtak.

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Knee Replacement

The knee joint is the largest joint in the body, consisting of 4 bones and an extensive network of ligaments and muscles. Injuries to the knee joint are amongst the most common in sporting activities.   read more

Hip Replacement

The hip joint is a ball and socket joint, formed by the head of the Femur (thigh bone) and the acetabulum of the pelvis. The dome-shaped head of the femur forms the ball, which fits snuggly into the concave socket of the acetabulum..   read more

ACL PCL Repair

Ligaments are bands of tough, elastic connective tissue that surround a joint to give support and limit the joint's movement. When ligaments are damaged, the knee joint becomes unstable. The ligament damage often occurs from a sports injury.    read more

Back Pain

A large number of professionals and office workers are suffering from Neck Pain or Low Back Pain. These are early signs of the problem which may deteriorate to a level where surgery is the only option...    read more

Spinal Cord Injury

In road accidents or other trauma the spinal cord can get injured and cause partial or complete paralysis. Surgery is often needed to prevent permanent damage to the spinal cord   read more

Disc Replacement

An artificial disc (also called a disc replacement, disc prosthesis or spine arthroplasty device) is a device that is implanted into the spine to imitate the functions of a normal disc (carry load and allow motion)   read more

Laminectomy

Laminectomy is surgery to remove the lamina. This is part of the bone that makes up a vertebra in the spine. Laminectomy may also be done to remove bone spurs in your spine. The procedure can take pressure off your spinal nerves or spinal cord  read more

Microdiscectomy

Microdiscectomy is a Minimally Invasive Spine Surgery. In a microdiscectomy or microdecompression spine surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to relieve neural impingement and provide more room for the nerve to heal  read more

Kyphoplasty

Kyphoplasty is a process in which the original angle and height of kyphosis of a fractured vertebra is corrected. After correcting the vertebra, it is stabilized by injecting cement mixture into the hollow area..    read more

 

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