ÐÏà¡±á>þÿ =@þÿÿÿ<ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥ÁÀ ð¿_bjbj,(,( 4"NBNBübÿÿÿÿÿÿ·~~dddddÿÿÿÿxxx8°,Üx^.ªøøøøøÓÓÓÕ-×-×-×-×-×-×-,0²º2¤.dÓÓÓÓÓ.ddøøÛ.ÓFdødøÕ-ÓÕ-âÑ*¤,ÿÿÿÿÈÇr\Îÿÿÿÿu+Á-..0^.‹+^3^3,,,d±,ÓÓÓ..ÓÓÓ^.ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ^3ÓÓÓÓÓÓÓÓÓ”–*: What to Expect with a Posterior Cervical Laminaplasty Surgery Incision will be vertical and approximately 6 - 8 inches long. Surgery can take 3 – 5 hours, depending on the extent of surgery. Length of Stay Most patients go home 1 – 3 days after surgery. Pain In addition to the incisional pain in the neck, you may experience referred pain in the shoulders and shoulder blades. You will be prescribed narcotic pain medications after surgery. To avoid side effects such as excessive sedation and constipation, take the pain medication only when you are having pain, and stop taking them as soon as you can. Brace and Driving You will be given a neck brace after surgery. This brace is to be worn at all times until we remove it at the follow-up visit. You may drive after the collar is removed and after you have stopped taking narcotics. Mobility The nursing and/or physical therapy staff will assist you with getting out of bed the first time after surgery. At home, we encourage walking multiple times a day as tolerated. Walking will help to prevent potentially life-threatening blood clots in the legs. Most patients are able to begin to perform activities of daily living several days after surgery. You should not lift anything over 10 pounds until cleared by your surgeon. We will prescribe postoperative physical therapy as needed. Work and Sports Most patients return to deskwork at 2 - 6 weeks after surgery. Most patients return to heavier work and sports at 2 - 3 months after surgery. Nutrition If you find that you do not have an appetite after surgery, try drinking nutritional supplements like Boost or Ensure. Medications that Affect the Surgery You must stop taking anti-inflammatory medications (e.g. ibuprofen, Motrin, Advil, Naprosyn, Aleve, etc.), aspirin and other blood thinners (e.g. warfarin, Coumadin, Aggrenox, Plavix, etc.) for 5-10 days (depending on the specific drug) prior to surgery. You must avoid nicotine exposure for at least 2 weeks before and 6 weeks after your surgery. This includes second-hand smoke. Follow-Up Care You will need to follow-up with us periodically with x-rays for 1-2 years after surgery. For more information, visit the patient education website of the American Academy of Orthopaedic Surgeons at http://orthoinfo.aaos.org Moe R. 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