Post Laminectomy Syndrome Cervical
Definition:
Post-laminectomy syndrome refers to the persistence of pain and disability following laminectomy. Laminectomy is a type of back surgery performed to relieve nerve compression or nerve root injury in the spine caused by disc herniation or spinal canal narrowing related to degenerative changes. The spinal canal is formed by the posterior portion of the vertebrae that surround the spinal cord and protect and confine the spinal nerves. A disc herniation or spinal stenosis may occur and cause pressure on the spinal cord and/or one or more spinal nerve roots. Removing a section of the bony arch, or lamina, which forms the posterior part of the spinal canal allows for decompression of the nerves.
Symptoms- Chronic neck pain after surgery
- Radiating arm pain
- Loss of ROM in the neck
- Abnormal sensibility may include sharp, pricking, and stabbing pain in the extremities
Causes- Poor patient selection
- Nerve root injury at the time of surgery
- Delayed surgery
- Infection in the disc space or epidural space
- Unrecognized lateral spinal stenosis or instability
- Reherniation
- Psychosocial factor
- Smoking
Treatment- ROM and stretching
- Posture program
- Neck stabilization exercises
- Upper extremity strengthening
Post Laminectomy Syndrome Cervical Phase I
- Prone Cervical Rotation R L
- Cervical Levator Scap Stretch
- Foam Wedge In Flexion
- Sitting Posture
- Standing Posture
- Prone Thoracic Extension
- Neck Support For Pillow
Post Laminectomy Syndrome Cervical Phase II
- Thoracic Stretch 1
- Wall Slides
- Chin Tucks
- Neck Circuit
- Curl Press
- Push Up Hold Top
- Hummers
