Lumbar laminectomy, also known as decompression surgery, is a procedure designed to alleviate pressure on the spinal cord or nerve roots in the lower back (lumbar spine). This pressure often results from conditions such as spinal stenosis, herniated discs, bone spurs, or ligament thickening. By removing the lamina—a portion of the vertebral bone covering the spinal canal—the surgeon creates more space, relieving compression and associated symptoms like pain, numbness, and weakness.
This minimally invasive or open surgery is typically performed when conservative treatments like physical therapy, medications, or injections fail to provide relief. A lumbar laminectomy is often used to restore mobility, reduce pain, and enhance the patient’s overall quality of life.
Preoperative Preparation
Comprehensive evaluation, including imaging studies such as MRI or CT scans, to identify the source of nerve compression.
Discussion of the patient’s medical history, current medications, and potential risks.
Anesthesia plan, typically general anesthesia, to ensure the patient is comfortable during surgery.
Procedure Steps
Incision: A small incision is made in the lower back over the affected vertebra.
Muscle Retraction: Muscles are gently moved aside to access the spine.
Lamina Removal: The lamina is carefully removed using specialized tools, creating more space for the spinal nerves.
Additional Repairs: If necessary, herniated disc material or bone spurs may also be removed during the procedure.
Closure: The incision is closed with sutures or staples, and a sterile dressing is applied.
Recovery and Postoperative Care
Patients typically stay in the hospital for a short duration or return home the same day, depending on the procedure type.
Postoperative instructions include avoiding heavy lifting, bending, or twisting for several weeks.
Physical therapy is often recommended to strengthen the back muscles and restore mobility.
Pain management strategies, including prescribed medications and ice packs, are provided for comfort.
Expected Outcomes
Significant pain relief and improved function in most patients.
Gradual return to daily activities within 4-6 weeks, with full recovery taking up to 3 months depending on individual factors.
What conditions does a lumbar laminectomy treat?
A lumbar laminectomy is commonly performed to address conditions causing nerve compression in the lower back, including:
How do I know if I need a lumbar laminectomy?
Your doctor may recommend a lumbar laminectomy if you experience:
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A less invasive approach, with extensive use of technology, for those who have seen thousands of patients in over 30 years of experience.
You will receive individualized care and an understanding of all the stages of your treatment.
A less invasive approach, with extensive use of technology, for those who have seen thousands of patients in over 30 years of experience.
You understand the step-by-step journey with us to a pain-free life. After a careful diagnostic analysis, Dr. Victor Katz studies the best course of treatment, always with your best interests in mind. Our mission is to provide you with a pain-free life so that you can do what you love best with the ones you love.
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