Cervical laminoplasty is NOT indicated for which condition?

Cervical laminoplasty is NOT indicated for which condition?

• A. Spondylitic Myelopathy
• B. Disc Herniation
• C. Lateral Stenosis
• D. Degenerative Changes

Answer: (B)

Cervical laminoplasty is a surgical procedure primarily indicated for conditions that lead to spinal cord compression, particularly where there is a need to decompress the spinal canal while preserving motion in the cervical spine. It is commonly performed for conditions such as spondylitic myelopathy, lateral stenosis, and degenerative changes where there is significant narrowing or compression of the spinal canal. In the case of disc herniation, the primary goal is typically to remove the herniated disc material that is pressing on the neural structures. Decompression in this scenario is often achieved through discectomy rather than laminoplasty, which is more suited for treating compressive pathologies involving broad-based spinal canal narrowing. Thus, laminoplasty is not the preferred surgical option for managing disc herniation. Understanding this distinction highlights why cervical laminoplasty is not indicated for disc herniation, as it does not effectively address the specific mechanism of compression caused by herniated discs, which require different surgical interventions.

Cervical laminoplasty is a surgical procedure primarily indicated for conditions that lead to spinal cord compression, particularly where there is a need to decompress the spinal canal while preserving motion in the cervical spine. It is commonly performed for conditions such as spondylitic myelopathy, lateral stenosis, and degenerative changes where there is significant narrowing or compression of the spinal canal.

In the case of disc herniation, the primary goal is typically to remove the herniated disc material that is pressing on the neural structures. Decompression in this scenario is often achieved through discectomy rather than laminoplasty, which is more suited for treating compressive pathologies involving broad-based spinal canal narrowing. Thus, laminoplasty is not the preferred surgical option for managing disc herniation.

Understanding this distinction highlights why cervical laminoplasty is not indicated for disc herniation, as it does not effectively address the specific mechanism of compression caused by herniated discs, which require different surgical interventions.