What is lumbar laminectomy surgery

Is lumbar laminectomy major surgery?

Laminectomy is a common but major surgery with significant risks and potential complications. You may have less invasive treatment options available. Consider getting a second opinion about all of your treatment choices before having a laminectomy. When laminectomy involves one vertebra, it is called single level.

How successful is laminectomy surgery?

Laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves, and has about an 80 percent success rate at improving walking abilities. In some cases, surgeons also perform spinal fusions, connecting two or more bones in the back, to help stabilize the spine.

How long does lumbar laminectomy surgery take?

Your surgeon may also perform a foraminotomy to widen the area where the nerve roots go through the spine. A laminectomy usually takes one to three hours.

How is a lumbar laminectomy performed?

During a lumbar laminectomy, your surgeon will make an incision in your lower back, pulling your muscles aside to expose the spine. Then, your surgeon will remove bone and bone spurs that are pressing onto nerves in the area, and will also cut away thickened ligaments to decompress the area .

How long do you stay in hospital after a laminectomy?

A hospital stay of 1 to 4 days is typically required following a lumbar laminectomy surgery. During this period, the patient is monitored by the hospital staff for any complications. Typically, a physical therapist works with the patient during the hospital stay to help with a guided rehabilitation program.

How painful is a laminectomy?

You will feel pain in your lower back. You’ll be provided pain medication. Depending on the extent of your surgery, you may need help getting out of bed and walking for up to a few days after the laminectomy.

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How soon can you walk after a laminectomy?

This is usually 2 to 3 weeks after a laminectomy and discectomy and 4 to 6 weeks after a lumbar fusion. Narcotic pain medications will delay your reflex time. Begin with short trips first and get out of the car every 30 to 45 minutes to walk around and reposition. Naturally, you will feel tired and weak after surgery.

What can you not do after a laminectomy?

Avoid strenuous activities, such as bicycle riding, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay. Do not drive for 2 to 4 weeks after your surgery or until your doctor says it is okay. Avoid riding in a car for more than 30 minutes at a time for 2 to 4 weeks after surgery.

How safe is lumbar laminectomy surgery?

Laminectomy is generally a safe procedure. But as with any surgery, complications may occur. Potential complications include: Bleeding.

How long do you wear a back brace after laminectomy?

Depending on the surgery and your general condition, you may only have to wear your back brace for two weeks or until your first post-op visit. Lumbar fusion surgery patients will have to wear their brace for a longer period of time, up to three months, especially as they return to work and to normal activities.

Does the bone grow back after a laminectomy?

A laminectomy removes the entire lamina. Removal of the lamina allows more room for the nerves of the spine and reduces the irritation and inflammation of the spinal nerves. The lamina does not grow back. Instead, scar tissue grows over the bone, replacing the lamina, and protects the spinal nerves.

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How do you sleep after a laminectomy?

Other Practical Sleeping Tips After Back Surgery

  1. Limit daytime naps. …
  2. Consider elevating your upper back, shoulder, and head slightly. …
  3. Use a medium firm pillow under your knees when sleeping on your back.
  4. Sleep on a firm mattress, or medium-firm, but avoid sleeping on a too soft mattress after back surgery.

How far should I walk after back surgery?

By day four, back at home, you should be walking for five full minutes, up to six times a day. Increase that to 10 minutes, three or four times a day, by week two, and up to 15 minutes by week three. By the sixth week following your surgery, you should be walking for 30 minutes twice a day.

Why do Laminectomies fail?

One of the most common causes is damage to the spinal nerve root. This damage may not have been caused by the surgery itself, but the procedure did not help it recover from the trauma it previously experienced. Another possible cause is the formation of scar tissue as the body tries to heal itself after surgery.

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