India Hospital Tour by We Care India Medical tourism Company Surgery and Treatment in India by We Care India, Mumbai, Delhi, Chennai, Bangalore Surgery and Treatment in India at Low Cost JCI / ISO accredited hospital and experienced surgeon advantages
Medical tourism by We Care India for Low Cost Surgery and Treatment  at Hospitals in India
Wecare Health Services Live Support

Your healthcare is now our concerns. 24x7 Online Hospitality Service.
Call: +91 9029304141 (10 am. To 8 pm. IST)
Post an EnquiryMedical Quote, Free No Obligation for Medical tourism Patients in India( Preferred )
(Only for international patients seeking treatment in India)
Only in India Hospital Tour
Treatment & Surgery
Spine Surgery
Spine Conditions
Spine Procedures
Anterior Cervical    Discectomy
Cervical Corpectomy
Lumbar Laminectomy
Micro Discectomy
Minimally Invasive Anterior    Cervical Discectomy
Minimally Invasive Back    Surgery
Minimally Invasive Spine    Surgery
New Modalities
Posterior Cervical    Discectomy
Revision Spine Surgery
Spinal Fusion Surgery
Spinal Laminectomy
Spinal Tumor Surgery
Total Disc Replacement
Other Spine Surgeries
Cost Guide
Spine Hospitals
Spine Doctors In India


Bookmark and Share Go Back Print This Page Add to Favorites
Home > Spine Surgery > Spine Procedures > Laminoplasty


Cervical stenosis can place pressure on the spinal cord in the neck region. The result of pinching of the spinal cord can be an insidious loss of coordination, loss of balance during walking, and even bowel and bladder incontinence.

If most of the compression is in the back, this condition can be treated with a posterior cervial laminectomy. The objective of this procedure is to remove the lamina (and spinous process) to give the spinal cord more room. The spinal cord is especially sensitive to injury, and once the progression of pinching leads to significant loss of function, this function may not be reversible even with removal of the offending agent(s).

Laminoplasty Surgery If a posterior laminectomy alone is done, there is a post-operative risk of developing instability that may lead to pain and deformity.

In the image at left, note the resultant curve going the opposite way after the laminectomy, resulting in the spinal cord (blue) being draped over the bone and soft tissue.

To avoid the above problems that can result with lamina removal, instead the lamina can be reconstructed. This procedure is called the laminaplasty.

Laminaplasty - Step 1

India Cervical Laminoplasty The diagram at left shows one way to perform the laminaplasty. A cut is made of the lamina down the middle, then grooves are made at the edges of the lamina that allow the lamina to be hinged open. These cuts are shown in red in the diagram below. The compressed spinal cord is shown in blue.

When the lamina is opened in such a manner, it can be held open by using a spacer of bone as shown below. Note the free and expanded spinal cord (in blue).

Laminaplasty - Step 2

India Cervical Laminoplasty, Laminoplasty, Spinal Stenosis The result is a conversion of the area for the spinal cord from a small triangular area to a large rectangular area. This elegant reconstruction allows for the muscles to attach to the new lamina and to provide protection from direct trauma to the spinal cord and protection from the spine falling forward.

^ Back to Top

Posterior Laminoplasty

In order to reduce the risk of post-operative instability and to avoid a fusion, some surgeons will recommend lifting the lamina on one side and leaving a hinge on the other side.

  • The advantage of this technique is that it increases the size of the canal but leaves the posterior tether that helps keep the spine stable.
  • The disadvantage is that it may not be as easy to decompress the nerves on both sides as they exit the foramen.

Possible Risks/Complications

A laminectomy or laminaplasty may not be successful in releasing compression on the spinal cord if the spine is not in lordosis (normal swayback). In such a case, anterior cervical corpectomy may be necessary to treat the spinal cord compression.

As with cervical corpectomy (also done for cervical stenosis with myelopathy) the principal risk is deterioration in neurological functioning after the surgery.

To help manage this risk, the spinal cord function is often monitored during surgery by Somatosensory Evoked Potentials (SSEP's). SSEP's generate a small electrical impulse in the arms/legs, measure the corresponding response in the brain, and record the length of time it takes the signal to get to the brain. Any marked slowing in the length of time may indicate compromise to the spinal cord.

ther potential risks include : -

  • Dural tear (cerebrospinal fluid leak)
  • < 1% infection rate
  • Bleeding
  • Increased pain
  • "collapse" of the hinge
  • Instability in the spinal column
  • Progressive kyphosis
  • Death

A dural tear, which occurs 1% - 2% of these surgeries, does not change the result of surgery, but post-operatively the patient may be asked to lay recumbent for one to two days to allow the leak to seal.

After Surgery

If the surgery simply prevents progression of the spinal cord damage (myelopathy) and there is no loss of function due to the surgery, both the patient and surgeon should consider it successful.

Patients will feel some pain after surgery, especially at the incision site. While tingling sensations or numbness is common, and should lessen over time, they should be reported to the doctor. Most patients are encouraged to be up and moving around within a few hours after surgery. After surgery, your doctor will give you instructions on when you can resume your normal daily activities.

Signs of infection like swelling, redness or draining at the incision site, and fever should be checked out by the surgeon immediately. Keep in mind, the amount of time it takes to return to normal activities is different for every patient. Discomfort should decrease a little each day. Most patients will benefit from a postoperative exercise program or supervised physical therapy after surgery. You should ask your doctor about exercises to help with recovery.
^ Back to Top


The results of the surgery are variable since some people have more extensive disease than others.

In general, after the surgery most patients can expect to regain : -

  • Some spinal cord function.
  • Improvement in their hand function and walking/balancing capabilities.
  • Surgery is very effective in reducing the pain in the arms and shoulders caused by nerve compression. However, some neck pain may persist.
  • Decreased numbness in the hands (if there was a lot of numbness prior to the surgery, it probably won't go away completely).

The outcome of treatment for myelopathy is more variable than surgery for radiculopathy. Decompressive procedures such as laminectomy generally arrest progression of myelopathy. The amount of recovery of neurologic function such as balance, coordination, bowel or bladder incontinence depends on the amount and duration of compression, as well as the presence of any permanent damage to the spinal cord.

The list of of world class Spine hospitals in India is as follows : -

Apollo Hospital Chennai Apollo Hospital, Chennai, India
Apollo Hospitals Delhi Indraprastha Apollo Hospital, Delhi, India
Apollo Hospitals Bangalore Apollo Hospitals, Bangalore, India
Apollo Hospitals Hyderabad Apollo Hospitals, Hyderabad, India
Wockhardt Hospital Bangalore India Wockhardt Hospital, Bangalore India
Fortis Hospital, Delhi, India Fortis Hospital, Delhi, India
Fortis Hospital Mohali, India Fortis Hospital, Mohali, India
Sparsh Hospital, Bangalore, India Sparsh Hospital, Bangalore, India
Artemis Hospital, Gurgaon ( Delhi ) , India Artemis Hospital, Gurgaon ( Delhi ) , India
Max Super Specialty hospital,  Delhi, India Max Super Specialty hospital, Delhi, India
BGS Global Hospital Bangalore, India BGS Global Hospital, Bangalore, India
BGS Global Hospital Chennai, India BGS Global Hospital, Chennai, India
BGS Global Hospital Hyderabad, India BGS Global Hospital, Hyderabad, India

^ Back to Top

For more information, medical assessment and medical quote send your detailed medical history and medical reports
as email attachment to
Email : -
Call: +91 9029304141 (10 am. To 8 pm. IST)
(Only for international patients seeking treatment in India)

Send Response

Gender : Age :


For a detailed evaluation send patientís medical reports / X rays / doctors notes to
Patient Story

Patient Storys

Successful heart surgery at We Care India partner hospital allows Robert Clarke to live a normal life despite a rare genetic disorder We Care india helped Robert find best super specialised surgeon for his rare conditions.

Read    : Robert's Story
See All : Patient's Success Stories

Related Link

Group Websites

Find us on

Medical Tourism Search Information For Professionals Resources
Hospitals By :


Neurosurgery, Brain Surgery, Epilepsy Surgery, Brain Tumor Surgery in India

SSL Certificate
Neurosurgery, Heart surgery, Brain Surgery , Brain Tumor Surgery in India

Copyright © 2009 - 2010 We Care India. All Rights Reserved.
Home | About Us | Site Map | Get a Quote | Disclaimer | Advertise With Us | Contact Us


Laminoplasty Surgery, India Cervical Laminoplasty, Laminoplasty, Spinal Stenosis , Spinal Cord, Cervical Spine Surgery, Cervical, Laminoplast, Bone, India Hospital Tour, Graft, Cervical Laminoplasty India, Laminoplasty Surgery India, Laminoplast India, Fusion India, Laminoplasty Surgery Information India, Treatment For Laminoplasty Surgery India, Cervical Laminoplasty India