Advanced Spinal Decompression and Fusion by Dr. Rajesh Bindal
At Texas Spine & Neurosurgery in Sugar Land, Dr. Rajesh Bindal, board-certified neurosurgeon, offers specialized surgical treatment for cervical spinal cord compression and instability. For patients with multilevel compression or congenital cervical stenosis, a posterior cervical approach may offer the safest and most effective solution—preserving mobility while relieving pressure on the spinal cord.
When Is a Posterior Cervical Approach Recommended?
A posterior cervical surgical approach is typically indicated for patients who have:
- Spinal cord compression at multiple levels
- Congenital cervical spinal stenosis
- Preserved lordotic spinal alignment
- No large anterior disc herniations or bone spurs
Dr. Bindal determines the optimal surgical route based on your anatomy, spinal alignment, and the location of the compression.
Cervical Laminoplasty
Cervical laminoplasty is a motion-preserving posterior procedure used to decompress the spinal cord while maintaining structural integrity and alignment.
Surgical Technique:
- The patient is placed face-down under anesthesia. The head is stabilized using surgical pins.
- A posterior neck incision is made, and muscles are gently detached from the spinal bones (lamina).
- On one side of each vertebra, the lamina is fully detached; on the opposite side, a partial cut is made.
- The lamina is then hinged open—relieving pressure from the spinal cord.
- A bone graft and titanium mini-plate are used to secure the lamina in its new, expanded position.
This technique widens the spinal canal without removing the lamina entirely, thus preserving spinal motion. It is often preferred over laminectomy for multilevel cases due to its reduced risk of postoperative instability and deformity.
Posterior Cervical Fusion
In cases of spinal instability, prior surgery, or trauma (e.g., fracture), a posterior cervical fusion may be required.
Indications for Posterior Fusion:
- Recurrent disc herniation
- Severe arthritis and joint degeneration
- Spinal deformity
- Failed prior cervical surgery
Surgical Steps:
- A complete laminectomy is performed to decompress the spinal cord.
- Screws are inserted into the facet joints across affected vertebral levels.
- A connecting rod is secured in place to stabilize the spine.
- Bone grafts are applied over the joints to achieve spinal fusion.
Posterior cervical fusion offers robust, multi-level stabilization and is highly effective for treating advanced degenerative or traumatic conditions of the cervical spine.
Motion Preservation vs. Stabilization: Which Is Right for You?
- Cervical laminoplasty is ideal when spinal motion can be safely preserved.
- Posterior cervical fusion is necessary when structural support is needed due to instability or deformity.
Dr. Rajesh Bindal will guide you through a comprehensive evaluation and help determine the most appropriate surgical approach based on your symptoms, spinal imaging, and treatment goals.
Schedule Your Posterior Cervical Surgery Consultation in Sugar Land, TX
If you’ve been diagnosed with cervical spinal cord compression or instability, trust Dr. Rajesh Bindal to provide expert, personalized care using the latest in posterior cervical laminoplasty and fusion techniques.
Call 281-313-0031 today to schedule your consultation at Texas Spine & Neurosurgery in Sugar Land, TX.