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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.
"I have a medical illustration created by Medical Legal Art at the beginning
of every case to tell the client's story, usually before I depose the
defendant doctor. The work product and cost-efficiency are outstanding. It
is a situation where, as a trial lawyer, I don't leave home without it."
Rockne Onstad
Attorney at Law
Austin, TX
"I thought you might want to know that after we sent a copy of your
illustration to the defendants, with a copy to
the insurance company, they increased their offer by an additional million
dollars and the case was settled for $1,900,000.00.
I appreciate your help!"
O. Fayrell Furr, Jr.
Furr, Henshaw & Ohanesian
Myrtle Beach, SC
www.scmedicalmalpractice.com
"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
"Thank you for the splendid medical-legal art work you did for us in the
case of a young girl who was blinded by a bb pellet. As a result of your
graphic illustrations of this tragic injury, we were able to persuade the
insurance company to increase their initial offer of $75,000.00 to
$475,000.00, just short of their policy limits.
We simply wanted you to know how pleased we were with your work which, to
repeat, was of superlative character, and to let you know that we would be
more than willing to serve as a reference in case you ever need one. Many
thanks for an extraordinary and dramatic depiction of a very serious injury
which clearly "catapulted" the insurance company's offer to a "full and
fair" amount to settle this case."
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.