Procedure: Open Door Laminoplasty

INTRODUCTION AND HISTORY

Mr R was just 43-years old when he noticed he had progressive difficulty in walking over the course of 6 months. A goldsmith by profession, he also noted a loss of dexterity in his hand over the last 3 or 4 months.

Mr. R's Preoprerative ScanMr. R's Preoprerative Scan

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DIAGNOSIS

An MRI of the cervical spine showed that he had a condition known as Ossified Posterior Longitudinal Ligament (OPLL) of the cervical spine. The posterior longitudinal ligament runs lengthwise along the back of the vertebral bodies, in front of the spinal cord. When there is ossification (deposits of bone into this ligament) there is an increase in the size and thickness of the ligament. This results in it occupying critical space which is actually to be occupied by the spinal cord. This in turn leads to the compression of the spinal cord, hindering its function.

TREATMENT

In such patients with critical loss of motor function, there is a need for quick and safe release of compression of the spinal cord to prevent long-term damage and its effects. This is best achieved in such patients by performing a procedure known as ‘open door laminoplasty.’

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OUTCOME

Mr R underwent an open door laminoplasty. Three months later he had let go of the walking stick he had been depending on and resumed his work.

Mr R's Post operative ScanMr R's Post operative Scan

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OPLL is the deposition of bone in the posterior longitudinal ligament. This bone formation results in spinal cord compression due to narrowing of the spinal canal (the space available for the spinal cord and nerves) and is considered one of the common causes of myelopathy.

It is recommended that the treatment for OPLL should only be done by a skilled neurosurgeon, because any failure in treatment can lead to long term effects.

Get to know more about the treatment options available at Sita Bhateja Specialty Hospital, Bangalore – https://www.sbshospital.com/get-in-touch/