What is the Right Treatment for Me?
Cervical laminoplasty is a surgery we do at Orthopedic and Laser Spine Surgery to specifically open that compressed canal back up. We essentially de-clog your nerve pipe. This is generally indicated by three or more levels of disease. Single level canal stenosis can be treated with a decompression from the front and a fusion. This is the most common method. For single level stenosis, we prefer a decompression and then an artificial disc replacement. This preserves motion without a fusion. No fusion equals no stiffness.
Multiple level stenosis can be treated with a multiple level fusion but this would not be wise. For instance, if a patient had four levels of severe stenosis and became myelopathic they would have clumsiness, difficulty walking, and numbness or shock-like pain in any of their four extremities. You could treat this with a corpectomy and fusion but a four level fusion will leave you with a stiff neck for life! Alternatively, four artificial discs could theoretically work. Currently, they are approved for only two level disease. So a laminoplasty is your best and should be your only option.