Minimally Invasive Spine Laminotomy Surgery in India - PowerPoint PPT Presentation

Title: Minimally Invasive Spine Laminotomy Surgery in India


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Minimally Invasive Spine Laminotomy Surgery in
India
The word laminotomy originates from the Latin
terms lamina - the bony plate covering the
posterior arch of the vertebra and otomy - the
act of cutting or making an incision. A
Laminotomy is a minimally invasive endoscopic
approach to opening the spinal canal. A
laminotomy does not require the use of general
anesthesia and it can be performed in a surgical
outpatient setting. A laminotomy is performed to
relieve pressure from the spinal canal for
exiting nerve roots and the spinal cord. The
procedure is performed with an end goal of
increasing the amount of available space for
neural tissues, and releasing entrapped nerves. A
laminotomy can be used to treat bone spurs,
pinched nerve, spinal stenosis, disc problems
such as a herniated or bulging disc,
excessive

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Types of Laminotomy
Cervical - Removal of part of lamina in the
neck portion. Lumbar  Removing the part of
the lamina in the lower back Sacral
 Abstracting part of the lamina in the back
between your hipbones. Thoracic  Removing the
portion of lamina in the middle part of the
back.

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Laminotomy - The Procedure
After the patient receives a local anesthetic, a
small incision is made in the back and a round
Depuy tube is inserted into it. Gradually, a
small series of tubes are placed over the initial
tube slowly increasing in size to make an opening
for access to the spine. The final working tube
will be about 18 millimeters in diameter which
the surgeon will use to insert the laser, camera,
suction, irrigation and other surgical
instruments. A laminotomy is an endoscopic
procedure and not arthroscopic. The difference
being that arthroscopic surgery requires
inserting the tubular instrument into the joint,
where endoscopic covers surgery with the same
instrument being placed anywhere outside of the
joint. After the working tube is in place the
surgeon can begin the procedure. Many patients
that undergo a laminotomy will feel instant
relief as the surgeon releases the entrapped
nerves.

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