laminectomy

At IBS hospital we have one of the most modern and comprehensive medical centers in the country and hosts many national clinical and academic programs and is continuing to add major research and academic capabilities. Our neurological and neurosurgical departments offer all the procedures and techniques necessary for a precise diagnosis as well as for precise guidance during brain surgery. At IBS we have neurosurgeons to treat neurological diseases which include head injury, spinal injury, brain tumors and spinal tumors. We have specialization in treating seizures or epilepsy as well as modern treatments for movement disorders like Parkinson's disease.

At IBS hospital we have one of the most modern and comprehensive medical centers in the country and hosts many national clinical and academic programs and is continuing to add major research and academic capabilities. Our neurological and neurosurgical departments offer all the procedures and techniques necessary for a precise diagnosis as well as for precise guidance during brain surgery. At IBS we have neurosurgeons to treat neurological diseases which include head injury, spinal injury, brain tumors and spinal tumors. We have specialization in treating seizures or epilepsy as well as modern treatments for movement disorders like Parkinson's disease.

At IBS hospital we have one of the most modern and comprehensive medical centers in the country and hosts many national clinical and academic programs and is continuing to add major research and academic capabilities. Our neurological and neurosurgical departments offer all the procedures and techniques necessary for a precise diagnosis as well as for precise guidance during brain surgery. At IBS we have neurosurgeons to treat neurological diseases which include head injury, spinal injury, brain tumors and spinal tumors. We have specialization in treating seizures or epilepsy as well as modern treatments for movement disorders like Parkinson's disease.

Laminectomy is a procedure to remove the lamina, which is a part of the spinal canal’s bony structure. It is performed to relieve pressure on one or more spinal nerve roots. Such pressure is often termed as nerve root compression or pinched nerve. This may also be the cause of back pain and leg pain. It creates space by removing the lamina — which is a part of the spinal canal’s bony structure.


This may involve:

The nerve root compression may also be caused due to

 

  • Ruptured disc - Also called a protruded, herniated disc or slipped
  • Scar tissue
  • “Wear and tear” of multiple discs with degenerative disc and bony spur formation termed as Spondylosis
  • Combination of the above factors
How is this spine surgery performed?

The spine surgery is performed after administration of general anesthesia with the patient lying faced down. Some Most of the parts of the vertebra is removed in order to reach the compressed nerve endings or root(s). As soon as the nerve root compression is located the pressure is relieved.

This may include:
  • Removing the cracked bit of the plate
  • Removing the bony overgrowth
  • Removing the scar tissue.
The spine surgery takes roughly 1.5 to 3 hours. Here and there, a plastic channel is left in the injury for a couple days after the operation to deplete any blood that may have gathered under the injury. Post-operation, patients are in the healing facility for 4-5 days. The patient's capacity to come back to typical action is generally subject to his/her pre-agent condition and age. Patients are urged to resume strolling; notwithstanding, it is prescribed to stay away from over the top bowing, lifting or bending for six weeks with a specific end goal to abstain from pulling on the suture line before it recuperates.

Why is it done?

The major cause for laminectomy is intervertebral disc herniation. In case the herniated disc is in the lumbar region, it may cause sharp and continuing back pain, some loss of sensation in the leg and foot or weakening of the muscles in the leg. There may also be difficult to raise the leg when it is held in a straight position.

Moreover a herniated disc in the neck region can also cause pain, numbness and weakness in the arm. The herniated disc may be triggered by twisting the back while lifting something heavy. In the ongoing spine surgery, the pulpy material protruding from the disc is removed by the surgeon in an attempt to relieve the pressure on nerves and nerve.

Risks & complications

Most of the Complications are infrequent and usually minor. But with any spine surgery, there are risks, including the chances of:
  • There are chances of infection which could happen and can be generally managed and cured effectively
  • Nerve root harm or inside/bladder incontinence.
  • The Paralysis can be exceptionally atypical since the spinal cord stops at about the T12 or L1 level, and surgery is usually done well below this level.
  • The cerebrospinal liquid hole might be experienced if the dural sac is ruptured. This doesn't change the result of the surgery, and for the most part a patient simply needs to rests for around 24 to 48 hours to permit the hole to seal.
  • Re- herniation of the same circle.
Alternatives to spine surgery

There are various different approaches for the laminectomy procedure such as weight loss and use of medication to relieve pain. There is some physical therapy and orthopedic braces that may aid in decompressing or mobilizing the spine using non-invasive or mechanical techniques.

Candidate eligibility

The eligibility for candidates for laminectomy includes those who suffer from chronic pain and do not respond to medication and physical therapy. Surgeon has the final decision to make for each and every patient for the surgery after thorough tests and consultations with the patient.

 

 

 

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