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What Happens During a Laminectomy?

What Happens During a Laminectomy?

What Is a Laminectomy?

A laminectomy or lumbar laminectomy is a form of back surgery used to relieve compression on the spinal cord. During the laminectomy procedure, your doctor from a spine surgery hospital in Delhi will remove the lamina. The lamina is part of the bone that makes up the vertebral arch in the spine. The doctor will take out the bone spurs. These structures later put pressure on the spinal cords or nerve roots. These structures can cause numbness or weakness in the legs, difficulty walking, mild to severe back pain, and difficulty controlling bladder or bowel movements.

The surgeon will only suggest laminectomy if your symptoms interfere with daily life. It is usually performed when less invasive treatments have failed.

 

Why Is Laminectomy Performed?

A laminectomy is frequently performed to relieve the effects of spinal stenosis. In this condition, your spinal column narrows and produces pressure in the spinal cord or nerves. Spinal stenosis may be induced by:

  • shortening of the spine's discs and swelling of the bones and ligaments, which both occur due to ageing.
  • arthritis of the spine, which happens commonly in older adults
  • a congenital disability or deformity present at birth, such as peculiar growth of the spine
  • Paget's disease of the bones, which is a medical condition in which bones build improperly
  • achondroplasia, which is a form of dwarfism
  • a tumour in the spine
  • a traumatic injury
  • a herniated or slipped disc

 

How Should You Prepare for a Laminectomy?

You should visit the Vimhans Nayati hospital to talk to your doctor if you:

  • are taking any prescription or over-the-counter drugs, vitamins, or supplements
  • think you are pregnant or may be pregnant
  • are sensitive or allergic to any medications and anaesthetic agents

Before the procedure, the doctor may ask you to:

  • stop taking blood thinners, such as aspirin
  • quit smoking if you're a smoker
  • fast 8 hours before the surgery
  • Also, arrange for someone to pick you up after the surgery.

 

How Is Laminectomy Performed?

The doctor will give you anaesthesia before performing the procedure. You will be asleep during the entire procedure. In this manner, you will feel no pain. The anaesthesiologist will also supervise you throughout the surgery.

During the laminectomy surgery, your surgeon will:

  • wash the skin over the surgical site with a sterile solution to help ward off a bacterial infection
  • carry out a small incision, or cut, in the middle of your back or neck
  • turnover your skin, muscles, and ligaments to the side to get a good view
  • extract part or all of the lamina bones on your spine
  • take out the bone spurs or small disk fragments
  • sew the incision with stitches
  • dress the incision with antiseptic bandages

Your surgeon will perform a spinal fusion in which two or more bones will be connected in the back to stabilize the spine better. Sometimes, a foraminotomy is performed to widen the area where the nerve roots go through the spine. While performing the laminectomy, the surgical time is usually one to three hours.

 

What Are the Risks of Laminectomy?

Some of the risks of spine surgery are:

  • damage to a spinal nerve
  • persisting pain after surgery
  • return of back pain
  • an infection in the surgical site
  • a cerebrospinal fluid leaks
  • breathing difficulties
  • an infection
  • blood loss
  • blood clot

 

What Happens After a Laminectomy?

After the spine surgery or a best joint replacement surgery in Delhi, the doctor may ask you to move around the room for a bit. You will have to stay in the hospital for two to three days.

While you're recovering from the procedure, you should:

  • avoid any heavy lifting and strenuous activity
  • be careful when climbing stairs
  • slowly increase your activities, such as walking
  • follow-up appointments with your doctors

The doctors may offer you other instructions after the procedure, depending on your particular situation.

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