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Back issues don’t just cause pain, they can severely impact your lifestyle. Book an appointment with the best spine specialists and orthopedic surgeons near you for laminectomy surgery.
Back issues don’t just cause pain, they can severely impact your lifestyle. Book ... Read More
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Laminectomy procedure, also known as decompression surgery, involves the removal of bone spurs and damaged tissues due to spine arthritis. The lamina comprises the back part of the spine, and if misshapen, it can cause undue pressure on the nerves and lead to pain. During laminectomy, the lamina is either trimmed or removed to relieve pressure on the spinal cord nerves. It is commonly performed as a part of decompression surgery.
It is generally considered as a last treatment option in patients where other conservative treatment options – like medication, physical therapy, steroid injection, etc. – have failed to provide any or adequate relief to the patient.
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Pristyn Care is one of the best surgery providers for orthopedic treatment in India. It provides surgical treatment for over 40 specialities – including spine surgery. Pristyn Care has tie-ups with some of the best spine surgeons in India, along with tie-ups with some of the best orthopedic clinics and hospitals. Along with this, we provide auxiliary services like dedicated care coordinator, cab service, meal services, etc. during the treatment to make the treatment journey smooth and seamless.
Laminectomy is required when the patient has bone overgrowth in the spinal joints, which leads to narrowing of the interlaminar spaces through which the spinal cord and nerves pass. This narrowing causes pressure on these nerves, leading to pain, weakness or numbness in the back, arm, and legs.
Laminectomy is performed for narrowing of the spinal joints, in the following cases:
Before laminectomy and all other spinal procedures, you need to prepare thoroughly, consult your orthopedist for a second or third opinion, and make sure all your doubts regarding the surgery have been cleared.
You should follow dietary and medical restrictions before the surgery, depending on the type of anesthesia and surgery. Further, you may have difficulty performing day-to-day functions immediately after the surgery, so arrange for an attendant or helper for this initial period.
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The treatment procedure for spinal surgery begins with a thorough diagnosis. Diagnosis for spine problems is performed through imaging tests like X-rays, MRI scans, CT scans, etc. These diagnostic tests help determine whether the patient needs surgery, what kind of surgery they need, etc.
Once the surgery has been advised and planned, the surgeon will administer anesthesia. Once the anesthesia has taken effect, the surgeon will make an incision over the affected vertebrae and move the muscles as needed. The size of the incision will vary based on the type of surgery and severity of the condition. In more complex cases, a discectomy or spinal fusion may be performed.
The surgery relieves pain and pressure over the spinal region and helps the patient perform their day-to-day functions. Most people with severe back and spinal issues are unable to perform everyday activities like standing, walking, etc. Some patients who have become bedridden will also get a new lease on life through this surgery.
After the surgery, the patient will be moved to a recovery room for observation. Generally, after minimally invasive surgery, the observation and recovery period are much smaller. Based on the complexity of the surgery, the patient may have to be hospitalized overnight.
Normally, patients are encouraged to stand up and start walking with support immediately after the surgery. Moreover, the physiotherapy period begins shortly after the surgery to improve recovery. Depending on the level of activity required by the patient, they can return to work within a few weeks. Normally, recovery period is longer in more complex surgeries like discectomy and fusion surgery.
Laminectomy surgery is generally very safe, especially when it is performed using arthroscopy surgery. However, in some cases, there may be complications like:
While laminectomy is generally very effective in reducing spinal pain, it is not a permanent treatment, especially if the patient doesn’t follow proper postoperative care and instructions. Recovery tips a patient should follow to attain complete recovery without complications and to prevent recurrence are:
Generally, open laminectomy can result in a few complications, but overall, there are hardly any complications associated with arthroscopic laminectomy, especially if the patient follows proper postoperative instructions.
Complete recovery from a lumbar laminectomy may take from 4 to 6 weeks or even a few months depending on the age and general health of the patient and the number of segments treated.
There are a few less invasive interventions that can help with back pain and other symptoms, including a pain management program, neurotomy, a spinal cord stimulator, an intrathecal pain pump, etc., depending on the severity of the condition, patient’s overall health condition, etc.
Most patients who have undergone multilevel laminectomy surgery can experience severe spine instability and should refrain from performing strenuous activities, lifting heavy objects, etc., for the rest of their lives.
Laminectomy involves removal of the complete lamina which does not grow back. Instead, it is replaced by growth of scar tissue which protects the spinal nerves.
It is common for patients who’ve undergone a multilevel laminectomy to need fusion surgery in the future if the spine becomes too damaged or unstable over the years.
