~open door cervical laminoplasty surgery performed on a 70 year old male for the first time in the region
Mathura, 18th August, 2016: Nayati Multi Super Specialty Hospital Mathura makes history by successfully performing region’s first cervical laminoplasty surgery on a 70 year old male thereby giving him a new lease of life.
The 70 year old male resident of Mathura, was bedridden for almost a year because of cervical canal stenosis secondary due to ossified posterior longitudinal ligament with multi segment cervical spondylitis with chord changes and spastic quadriparesis.
The patient was diagnosed to have spastic quadriparesis (paralysis of all the four limbs) therby leading to a bed ridden condition. Post all the diagnosis and careful examination, open door cervical laminoplasty was planned and successfully performed. The patient’s was discharged in 5 days in improved medical condition.
Dr. Sunil Kumar Gupta, (Head of Dept. – Minimally Invasive Neurosurgery & Neuro-interventional surgery at Nayati Multi Super Specialty Hospital, Mathura said, “This is the first time a cervical laminoplasty has been accomplished in the region. We are committed to bring the best in healthcare at an affordable cost for the people of the region thereby reducing the travel woes to Delhi NCR.
“A cervical laminoplasty is a spine surgery that involves reshaping or repositioning bone to relieve excess pressure on the spinal nerves in the cervical spine, or neck. A cervical laminoplasty is often performed to relieve the symptoms of spinal stenosis, the narrowing of the spinal canal resulting in such symptoms as neck pain, pain that radiates into the shoulders, arms or hands, numbness, tingling and muscle weakness in the neck and/or upper extremeties and bowel and/or bladder impairment. This procedure is performed through a small incision made at or near the center of the back of the neck.”
Pressure on the spinal cord can be due to various causes including degenerative changes, arthritis, bone spurs, disc herniations, OPLL, tumors, or fractures. Frequently this spinal cord pressure, called spinal stenosis, can occur at multiple levels of the cervical spine at the same time. If this pressure is severe enough, symptoms called myelopathy can develop.
Ossified posterior longitudinal ligament is a very uncommon cause of myelopathy in Indian population. This is more common amongst Japanese population. The disease is twice as common in men as compared to women. Symptom usually manifests post 40 year.