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About The Procedure

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Lumbar Laminectomy for Spine procedure

A lumbar laminectomy is otherwise called an open decompression and is commonly performed to ease the pain caused by neural impingement that can result from the lumbar spinal stenosis.

What Causes Spinal Stenosis and Who is at Risk?

There is no exact cause of spinal stenosis so far. A few people are born with a small spinal canal. This is designated "congenital stenosis". In any case, spinal narrowing is frequently because of age-related changes. This is designated as "acquired spinal stenosis."

You are in danger of getting spinal stenosis increments if:

  • You were born with a short spinal canal
  • You are 50 years of age or more seasoned
  • You've had surgery for spine in the recent past
  • You have spine defects since birth
  • You have naturally narrow spinal cord
  • You have spinal curvature (or scoliosis)
  • You have bone tumours
  • You have achondroplasia, a type of dwarfism.
  • You are diagnosed with Paget’s disease

One crucial factor in the occurrence of spinal stenosis is your sex. This defect affects females more than males.

What Makes You a Candidate for Lumbar Laminectomy for Spine?

The surgeons consider symptoms as well as diagnostic procedures before deciding your need for lumbar laminectomy. Following symptoms are taken in account for this surgery.

  • Weakness in a leg or arm
  • Having lower back pain while standing or walking
  • Having numbness in your legs or buttocks
  • Balance problems

What Diagnostic Procedures are Used?

  • Magnetic Resonance Imaging (MRI) An MRI is a symptomatic strategy that uses large magnets, radio frequencies, and a PC to create high definition pictures of organs and structures inside the body. This test is managed without the using of X-rays.
  • X-ray A radiologist can tell if the spinal stenosis is at a harmful stage or not. A clear image of the internal structures is obtained for the purpose.
  • Bone Scan A bone scan is a nuclear medicine test. This implies the procedure uses a small amount of radioactive substance, called a tracer. The tracer is infused into a vein. Regions which absorb too much tracer might need urgent surgical intervention.
  • Electromyogram An electromyogram is electrical testing of the muscles and nerves in your body through a nerve conduction study.

How Lumbar Laminectomy is Performed?

You are put to sleep using a general anaesthesia so that you don't feel any pain during the surgery. Once the anaesthesia sinks in, the surgeon makes an incision in your back and pushes away the muscles from your spine. Small instruments are used to remove the affected lamina.

If laminectomy is being performed as part of surgical treatment for a herniated disc, the surgeon removes the affected portion along with the bone fragments. This process is known as diskectomy.

If one of your vertebrae has slipped over another or if you have curvature of the spine, spinal fusion may be necessary to stabilise your spine. During spinal fusion, the surgeon permanently connects two or more vertebrae using bone grafts. Metal rods and screws are used, if necessary. The surgery is concluded using sutures to close the incision wound.

What Postoperative Complications May Arise?

You may temporarily face the following complications:

  • Nerve damage may happen amid or after procedure.
  • Blood clots may happen.
  • Spinal fluid may leak.
  • Bleeding from the wound.
  • Risk of infection is present.
  • Worsening of the chronic back pain.
  • Risks associated with anaesthesia.
  • Death (in rare cases)

Postoperative Follow-up

Decompression might be prescribed if your side effects have not improved with a non-intrusive treatment or medications. You may be required to stay in the hospital for 1 to 3 days. The recuperation takes between 4 to a month or more than that.

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Hospitals

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