Advanced Myelopathy Treatment by Dr. Rajesh Bindal at Texas Spine & Neurosurgery
Cervical laminoplasty is a specialized surgical procedure used to treat spinal cord compression, most commonly due to cervical myelopathy or spinal tumors. At Texas Spine & Neurosurgery in Sugar Land, Dr. Rajesh Bindal, a board-certified neurosurgeon, performs laminoplasty to relieve pressure on the spinal cord while preserving spinal motion across multiple levels.
What Is Cervical Myelopathy?
Cervical myelopathy occurs when the spinal cord in the neck becomes compressed, leading to progressive neurological dysfunction. If left untreated, it can result in permanent disability.
Common Symptoms of Spinal Cord Compression:
- Neck pain or stiffness
- Weakness in the hands, arms, or legs
- Numbness or tingling in the hands or arms
- Loss of fine motor control (e.g., dropping objects, difficulty writing)
- Trouble with balance and coordination
- Difficulty navigating stairs or uneven surfaces
Prompt diagnosis and treatment are essential to halt progression and restore function.
Cervical Laminoplasty: How the Procedure Works
Cervical laminoplasty is performed through an incision at the back of the neck and is designed to decompress the spinal cord while maintaining motion.
Dr. Bindal uses the following approach:
- The muscles are carefully detached from the spinal bones to access the lamina (the protective bony covering of the spinal cord).
- A partial thickness cut is made on one side of the lamina; a full thickness cut is made on the opposite side.
- The lamina is gently hinged open—similar to opening a door—to relieve pressure on the spinal cord.
- A bone spacer is inserted to hold the lamina open and maintain the expanded spinal canal.
- Tiny titanium plates and screws secure the spacer to prevent the lamina from collapsing.
- Over time, the bones may naturally fuse, preserving spinal alignment and structure.
Unlike a full laminectomy, laminoplasty maintains stability and motion, making it ideal for patients with multi-level compression and preserved spinal curvature.
Real Patient Success: A Case Study
A 58-year-old patient presented with worsening symptoms of myelopathy: severe neck pain, hand weakness, frequent object dropping, numbness, and poor balance. Imaging confirmed multi-level spinal cord compression.
Dr. Bindal performed posterior cervical laminoplasty, given the patient’s preserved spinal alignment and posterior pathology. One year postoperatively:
- Neck pain had resolved
- Hand strength and sensation returned to normal
- Balance improved significantly
- Imaging confirmed successful spinal decompression and canal reconstruction
This case illustrates the effectiveness of laminoplasty in halting and reversing neurological decline caused by spinal cord compression.
Why Choose Dr. Rajesh Bindal for Myelopathy Treatment?
- Board-certified neurosurgeon with extensive spine surgery experience
- Expert in motion-preserving techniques such as laminoplasty and disc replacement
- Known for comprehensive, patient-specific treatment planning
- Serving patients in Sugar Land and the Greater Houston area
Dr. Bindal uses a detailed diagnostic process—including MRI and CT imaging—to determine whether cervical laminoplasty is the right option based on your anatomy, symptoms, and spinal alignment.
Schedule a Consultation for Spinal Cord Compression in Sugar Land, TX
If you are experiencing symptoms of cervical myelopathy or have been diagnosed with spinal cord compression, contact Texas Spine & Neurosurgery today to schedule your consultation with Dr. Rajesh Bindal.
Call 281-313-0031 to begin your evaluation and learn whether cervical laminoplasty is right for you.