What does Cervical Stenosis Surgery Involve?

Cervical stenosis is a slowly progressive condition that pinches the spinal cord. A cervical spinal stenosis surgery involving decompression may or may not improve the symptoms. Cervical stenosis surgical decompression can be performed through an anterior (front) approach or posterior (back) approach. The type of approach is generally dependent on the surgeons discretion . As multiple levels need to be decompressed, the cervical stenosis surgery tends to be more involved than that for cervical herniated discs or cervical foraminal stenosis. When Should Surgery Be Considered and What can you expect? Many a times the conditions causing spinal stenosis or cervical stenosis cannot be permanently transformed by nonsurgical treatment, even though it is known to provide temporary relief. A doctor might recommend a non surgical treatment first. However, if the symptoms continue to persist, such as numbness or weakness that interferes with walking, impaired bowel or bladder function, or other neurological involvement, surgery will be suggested. The effectiveness of nonsurgical treatments, the extent of the patient's pain, and the patient's preferences will determine whether or not to have surgery. The purpose of surgery is to relieve pressure on the spinal cord or nerves and restore and maintain alignment and strength of the spine. This can be done by removing, trimming, or adjusting diseased parts that are causing the pressure or loss of alignment. The most common surgery is called decompressive laminectomy i.e removal of the lamina (roof) of one or more vertebrae to create more space for the nerves. A surgeon may perform a laminectomy with or without fusing vertebrae or removing part of a disk. Various devices may be used to enhance fusion and strengthen unstable segments of the spine following decompression surgery. Patients with spinal stenosis caused by spinal trauma or achondroplasia may need surgery at a young age. When surgery is required in patients with achondroplasia, laminectomy (removal of the roof) without fusion is usually sufficient. Long-Term Outcomes of Surgical Treatment for Spinal Stenosis Most patients are able to walk better following surgery. However, if nerves were badly damaged before surgery, there may be some remaining pain or numbness or no even improvement. Even after the surgery, the degenerative process is likely continue. Pain or limitation of activity can make a come back even after surgery. Select a good surgeon and a reputed spine clinic for best results.