Laminectomy spine - an operation to remove the vertebral arch (situated in the rear part thereof), the method of decompression of spinal surgery. When laminectomy surgery by increasing the space of the spinal canal to relieve pressure on the spinal cord or nerves branching off from it, which causes pain and other unpleasant symptoms. Such compression (spinal stenosis) is most often caused by excessive bone growths inside the spinal canal (the so-called "bone spurs" - .. Osteophytes), herniated disc, spondylolisthesis (lamination of one vertebra on another), deforming spondyloarthrosis, accompanied by the development in the vertebral surfaces osteophytes, age-related changes during aging or as a result of other causes.

Laminectomy can usually be recommended when more conservative treatments, such as medication or physical therapy, unable to relieve the symptoms, and if the clinical picture is deteriorating, and the negative siptomatika progresses. Spinal neurosurgeons best Israeli hospitals are using minimally invasive endoscopic technique during spinal laminectomy, the consequences of such intervention gives minimal damage to adjacent tissues to the spine, and therefore provides an early recovery of the patient.

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Tlv.Hospital ensure rapid diagnosis and effective treatment method conducting spinal laminectomy, the rehabilitation period takes a minimum of time. The patient is accompanied by a Russian translator for the duration of the treatment, as it provided a reliable insurance, transfer and additional services to facilitate adaptation. Cost spinal laminectomy procedures available in Israel, as a form of payment most convenient. The price of the spine laminectomy in Israel on average, three times lower than the cost of similar medical services in the United States or the EU hospitals.

spinal laminectomy in Israel

spinal laminectomy method most adapted for a speedy recovery of the patient with the least degree of trauma. backbone structure includes flexibly interconnected bone elements - vertebrae and situated therebetween cartilaginous intervertebral discs. The vertebrae consist of a vertebral body itself and extending therefrom bony plates - arches which confined to form the spinal canal, through which the spinal cord from escaping through the holes spinal roots. Vertebral arch normally protect the spinal cord and its roots, but sometimes due pathologies may compress neural structures and lead to decompression and stenosis, disruption of circulation of cerebrospinal fluid (CSF), and hence an increase in pressure on the spinal cord structures al. Issues. laminectomy method is designed to surgically eliminate the spinal canal narrowing.

The operation is laminectomy decompression, t. E. Pressure drop on the spinal cord or nerve roots extending through surgical expansion of the spinal canal. This is done by full or partial removal of vertebral arches to release impaction nervous tissue and to provide a cavity for the spinal cord of normal volume. The additional locking elements or structures may be used.

How to spend laminectomy in Israel?

The operation is usually performed under anesthesia - general (the patient is immersed in a drug-induced sleep) or epidural (the patient is conscious, but the sensitivity of the body below the waist is turned off).

spinal laminectomy in Israel is carried out in the following sequence:

  1. Neurosurgeon after anesthesia will act exerts minimal incision on the skin of the back, thereby producing an endoscopic access to the vertebra in the region where there is a decompression.
  2. Through special endoscopic instruments vertebral arches removed.
  3. In the case of spinal laminectomy, discectomy combined with (deletion herniated disc), after excision of a damaged disc and arch fragments thereof is also removed.
  4. If diagnosed pathology displaced vertebrae or curvature of spine ( scoliosis ., Etc.) during a laminectomy operation in Israel conducted on spinal stabilization procedure with necessary fixing structures - plates, screws, or rods, which are rigidly fastened to each other the two adjacent vertebrae to support the fragile portions spine.
  5. After the completion of laminectomy surgical wound is sutured in layers, applying surgical staples or sutures on the skin.

 

Diagnosis preoperatively

Spinal laminectomy in Israel is carried out at the offices of spinal surgery specialist clinics only after a comprehensive and thorough examination. Preoperative diagnosis comprises the following hardware and laboratory studies:

  1. Blood count on biochemical and clinical parameters, clotting factor, and others.
  2. Taking lumbar puncture (analysis of cerebrospinal fluid) also helps to reduce the pressure, and hence the reduction of pain.
  3. CT (computed tomography).
  4. MRI (magnetic resonance imaging).
  5. Ultrasound of the abdomen and pelvis (ultrasound diagnostics);
  6. ECG (electrocardiography).

They can be assigned and additional research.

The indications for surgery

Laminectomy is performed to relieve the effects of spinal stenosis where the spinal canal narrows and puts pressure on the spinal cord or departing from it roots. Stenosis can be caused by different causes:

  1. The destruction of spinal discs, tendons, changes of bone, resulting in aging.
  2. Herniated disc.
  3. Deforming arthritis and spondylarthritis often found in the elderly.
  4. Spondylolisthesis.
  5. Paget's disease.
  6. Achondroplasia.
  7. Tumors.
  8. Congenital defects of the spine.
  9. Traumatic consequences.
  10. Providing surgical access to the spinal cord when removing tumors.

symptoms

Pathologic compression of the spinal cord or nerve roots can lead to the emergence and development of unpleasant symptoms:

  • Back pain range from mild to severe.
  • Numbness or weakness in the limbs.
  • Difficulty walking.
  • Difficulty controlling bladder or bowel movements.

Such symptoms indicate that you need to consult a doctor immediately.

Rehabilitation

After surgery, spinal laminectomy rehabilitation period includes a number of important milestones. Immediately after surgery the patient is transferred to a special room, where qualified medical personnel will observe the state of recovery from anesthesia, the patient receives painkillers, anti-inflammatory and other prescription medications. Often during the rehabilitation period laminectomy quite brief, the patient may be discharged from the hospital directly after 2-3 days after surgery. In severe cases, hospitalization lasts a few days. After surgery, the patient is a physical therapy to strengthen muscular system. After laminectomy worth in a few weeks to limit physical exertion (lifting heavy objects, sharp slopes, etc.).

complications

Following the spinal laminectomy consequences include lower risk of postoperative complications. But, as with any surgery, the potential negative symptoms may occur, including:

  • Bleeding.
  • Inflammatory reactions.
  • the risk of thrombosis (blood clots).
  • Complications associated with nerve entrapment.
  • Risks associated with general anesthesia.

doctors:

Professor Reuven Gepshteyn is one of the best spinal surgeons and neurosurgeons Israel, specializes in minimally invasive and endoscopic procedures in orthopedics. Author of numerous scientific papers.

Dr. Zvi Lidar - one of the most sought-after specialists in the field of neurosurgery, orthopedics and spinal surgery in Israel, author of innovative techniques, incl using computer 3D technology to create implants vertebrae ...

Dr. Ilya Baking - one of Israel's leading orthopedic and spinal surgery, has vast clinical experience, holds a unique operation for the treatment of complicated pathologies of the spine, herniated disc, getting rid of the pain syndrome, etc.