Posterior Cervical Laminectomy and Fusion: Insights from Dr. Shrey Shah

Dr. Shrey Shah, a leading neurosurgeon in Baner, Pune, specializes in advanced surgical treatments for spinal conditions, including posterior cervical laminectomy and fusion. This procedure is designed to alleviate pain and restore function in patients suffering from spinal stenosis and other cervical spine disorders.

What is Posterior Cervical Laminectomy and Fusion?
Posterior cervical laminectomy and fusion is a surgical procedure performed to decompress the spinal cord and nerves in the cervical (neck) region. The surgery involves two main steps:

1. Laminectomy: The removal of the lamina, a part of the vertebra, to create more space in the spinal canal and relieve pressure on the spinal cord and nerve roots.
2. Fusion: The stabilization of the cervical spine by joining two or more vertebrae together using bone grafts and implants (such as screws and rods). This helps to maintain spinal alignment and prevent excessive movement that could cause further pain or injury.

• Cervical Spinal Stenosis: Narrowing of the spinal canal in the neck, which compresses the spinal cord and nerves.
• Cervical Myelopathy: Damage to the spinal cord due to compression, leading to symptoms such as numbness, weakness, and coordination problems.
• Herniated Discs: When the soft material inside a cervical disc pushes through its outer layer and presses on the spinal cord or nerves.
• Cervical Spondylosis: Degeneration of the spinal discs and joints, often due to aging, leading to pain and stiffness.
• Cervical Instability: Abnormal movement between cervical vertebrae, often due to injury or degeneration.

• Medical History and Physical Examination: To assess overall health and pinpoint the source of neck pain.
• Imaging Studies: MRI, CT scans, or X-rays to get detailed images of the cervical spine.
• Preoperative Instructions: Guidelines on medications, diet, and activities to prepare for surgery.
  

• An incision is made in the back of the neck.
• The muscles and soft tissues are moved aside to expose the vertebrae.
• The laminae are removed to relieve pressure on the spinal cord and nerves.
• Bone grafts and implants are placed to fuse the vertebrae together.
• The incision is closed with sutures or staples.
  

• Hospital Stay: Most patients stay in the hospital for a few days after surgery.
• Pain Management: Medications are provided to control pain and discomfort.
• Physical Therapy: Exercises and activities to strengthen neck muscles and improve mobility.
• Follow-up Visits: Regular check-ups with Dr. Shrey Shah to monitor healing and progress.

• Pain Relief: Significant reduction in neck pain and associated symptoms.
• Improved Function: Enhanced ability to perform daily activities without discomfort.
• Spinal Stability: Stabilization of the cervical spine, reducing the risk of future injuries.