颈椎切除术

什么是颈椎切除术？

A cervical laminectomy is a decompression surgery that removes a section of the bone that covers the spinal canal to relieve spinal stenosis or arthritis that can cause myelopathy, an injury to the spinal cord resulting in muscle weakness, difficulty walking, or loss of bowel and/or bladder control. A cervical laminectomy creates space by removing lamina, the back part of the vertebra that protects the spine, as well as any enlarged ligaments causing pressure. Bone spurs can cause compression that leads to pain, weakness, or numbness in the arms and legs. Surgery is used after medication and physical therapy fail to provide relief. It can be performed with or without a fusion.

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The UTHealth Neurosciences Spine Center brings together a multidisciplinary team of board-certified, fellowship-trained neurosurgeons, neurologists, researchers, and pain management specialists who work together to help provide relief for even the most complex problems. People who suffer from radiculopathy, spondylosis, spinal stenosis, herniated disc, degenerative disc disease, peripheral nerve disorders, spinal cord injury, or other trauma benefit from our collaborative expertise in managing spine disorders.

我们的多学科专家团队分享了见解，从而做出了更好的治疗决策和结果。我们首先研究非手术治疗方案，包括医疗管理，疼痛管理，物理疗法，康复和注意等待。当需要手术时，我们的神经外科医生通常采用创新的微创技术。在整个治疗过程中，我们将与医生紧密合作，该医生向您推荐您，以确保顺利过渡到您的常规护理。当您与我们在一起时，您将获得专家护理，出色的沟通和真正的同情心。

Anatomy of the neck and spine

脊柱分为以下区域：

• 颈椎区域（椎骨C1-C7）涵盖了头骨下的前七个椎骨。他们的主要功能是支撑头部的重量，平均磅10磅。颈椎比其他区域更容易流动，而地图集和轴椎骨促进了颈部的各种运动。这些椎骨的开口使动脉可以将血液带到大脑，并允许脊髓通过。它们是最薄，最精致的椎骨。
• 胸部区域（椎骨T1-T12）由上胸部的12个小骨头组成。胸椎是唯一支撑肋骨的椎骨。姿势不良，关节炎和骨质疏松症的肌肉紧张是该地区疼痛的常见来源。
• The lumbar region (vertebrae L1-L5) features vertebrae that are much larger to absorb the stress of lifting and carrying heavy objects. Injuries to the lumbar region can result in some loss of function in the hips, legs, and bladder control.
• The sacral region (vertebrae S1-S5) includes a large bone at the bottom of the spine. The sacrum is triangular-shaped and consists of five fused bones that protect the pelvic organs.

Reasons for a Cervical Laminectomy

Most neck pain does not require surgery. Degenerative changes in the cervical region of the spine can lead to excessive pressure on the spinal cord. Cervical compression can cause pain, weakness, numbness, and difficulty walking. A loss of mobility in the neck region might prompt your medical team to consider a cervical laminectomy.

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手术和康复期间的期望

The surgeon makes a small incision at the front of the neck, removes the entire disk or a portion of it to relieve pressure on the nerve root or spinal cord. After the damaged disk is removed, the surgeon will place a bone graft in the remaining open space, where it will fuse to the adjacent vertebrae it over a period of weeks or months. The surgeon may use a synthetic implant or actual bone for the fusion.

鼓励患者开始在医院行走，通常在一天之内出院，并指示增加每天花费的时间。患者在手术后的颈部，上背部，肩膀甚至臀部疼痛是正常的。手术后，患者也可能会遇到嘶哑或困难。

Most patients recover within four to six weeks. Patients might experience some hoarseness or difficulty swallowing for a few days after surgery.

您的脊柱外科医生将为您提供与您的特定状况和生活方式目标有关的特定信息，以及对手术的详细描述以及有关如何最佳康复的说明。

Spine Disease and Back Pain

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