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atla.doereport.comatla.doereport.comCervical Laminoplasty - Medical Animation
Cervical Laminoplasty - Medical Animation



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8/12/20
Cervical Laminoplasty - Medical Animation
 
This animation may only be used in support of a single legal proceeding and for no other purpose. Read our License Agreement for details. To license this animation for other purposes, click here.

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Cervical Laminoplasty - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: If you have a condition in your neck that puts pressure on your spinal cord or spinal nerves, your doctor may recommend a cervical laminoplasty. The spine in your neck, also called the cervical spine, has seven bones called vertebrae. The front part of each vertebra is called the vertebral body, except for the first vertebra. Between most vertebrae is a soft cushion of cartilage called an intervertebral disk. The back part of each vertebra has a curved section called the vertebral arch. Except for the first vertebra, each vertebral arch has a bony projection called the spinous process. On each side of the spinous process is a flat piece of bone called a lamina. The vertebral arch of the vertebra surrounds and protects your spinal cord, a column of nervous tissue connecting your brain to other nerves in your body. Your spinal cord passes through an enclosed space called the vertebral canal, which is formed by the vertebral arches of your vertebrae. Over time, your cervical spine may develop problems such as a bulging disk, or bony growths on your vertebrae called bone spurs. These changes can narrow your vertebral canal and put pressure on your spinal cord, or the nerves that branch off of it. The pressure can cause neck pain and stiffness, or pain, numbness, and weakness in your arms or hands. Before your procedure, an intravenous line, or IV, will be started. You may be given antibiotics through the IV to decrease your chance of infection. You will be given general anesthesia to make you unconscious and pain-free. During the procedure a breathing tube will be inserted through your mouth and down your throat to help you breathe during the operation. Your surgeon will make an incision on the back of your neck. The laminae of the affected vertebrae will be exposed. Your surgeon will remove the outer layer of bone from each lamina, forming two troughs. If your surgeon uses the open-door technique, he or she will cut the rest of the way through one of the troughs and pull open the vertebral arch, using the other trough as a hinge. This relieves the pressure on your spinal cord. If your surgeon uses the French door or double-door variation on this technique, both troughs will be used as hinges. This will allow your surgeon to split the spinous process, and open your vertebral arch in the middle. Usually the vertebral arch will be opened on more than one of your cervical vertebrae. Bone graft material, along with metal plates attached to it, may be inserted into each vertebral arch to hold it open. Your surgeon will close your incision with sutures, surgical skin glue, or staples. Your neck will be placed in a collar to keep it still while your bones heal. After your procedure, your breathing tube will be removed, and you will be taken to the recovery area for monitoring. You'll be given pain medication as needed. You will wear your neck collar for several weeks. You may be released from the hospital within two to three days after your procedure.

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What attorneys say about MLA and The Doe Report:
"Whether it's demonstrating a rotator cuff tear, neck movement a few milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report represents an instant on-line database of medical illustration for health-care and legal professionals.

Illustrations can be purchased 'as is' or modified within hours and sent either electronically or mounted on posterboard. An illustration is worth a thousand words, as juries perk up and look intently to capture concepts that are otherwise too abstract. Start with good illustrations, a clear and direct voice, a view of the jury as 12 medical students on day one of training, and your expert testimony becomes a pleasure, even on cross examination. An experienced trial lawyer should also emphasize these illustrations at the end of trial, as a means of visually reinforcing key concepts covered.

As a treating physician, I also use these accurate illustrations to educate my own patients about their medical conditions. The Doe Report is an invaluable resource, and its authors at MLA have always been a pleasure to work with."

Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info

"I wanted to thank you for the terrific job you did illustrating my client's injuries. The case was settled at the pre-suit mediation, and I believe a good part of the success we had was due to the medical legal art you prepared.

Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the conclusion of mediation, and will be using it to train nurses on how to prevent bed sores..."

Steven G. Koeppel
Troy, Yeslow & Koeppel, P.A.
Fort Myers, FL

"Thanks, and your illustrations were effective in a $3 million dollar verdict last Friday."

Joseph M. Prodor
Trial Lawyer
White Rock, British Columbia
"Thank you very much for the great work on the medical exhibits. Our trial resulted in a $16 million verdict for a 9 year old boy with catastrophic injuries, and the medical illustrations definitely played key role in the trial."

David Cutt
Brayton Purcell
Salt Lake City, UT

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