Laminectomy Surgery

What Is a Laminectomy

A laminectomy is a form of decompression surgery performed to alleviate debilitating nerve pain caused by compression of the spinal cord or spinal nerve roots. It works by removing most or all of the lamina — the bony plate of the vertebra that forms the back of the spinal canal — relieving pressure on the spinal cord and surrounding nerve roots and providing more space for them to heal and function freely. Minimally invasive laminectomy procedures can be done on an outpatient basis.

Laminectomy surgery can be performed on different parts of the spine, depending on the location of the nerve compression:

• Cervical laminectomy surgery— on the vertebrae in the neck
• Thoracic laminectomy surgery — on the vertebrae in the mid-back
• Lumbar laminectomy surgery — on the vertebrae in the lower back

Conditions Treated with Laminectomy

Laminectomy surgery may be performed on the cervical, thoracic, or lumbar spine to treat structural spinal conditions that compress the spinal cord or nerve roots.

• Spinal stenosis
• Herniated lumbar disc
• Spondylolisthesis
• Arthritis of the spine
• Spinal tumors
• Degenerative disc disease (DDD)

These conditions can affect the neck, upper back, or lower back and often cause symptoms like sciatica pain, numbness, or weakness that radiates down the arms or legs. Leg symptoms are often worse with walking or standing for long periods.

When to Consider Laminectomy Surgery

Laminectomy surgery may be recommended in cases of severe, debilitating pain or mobility impairment related to compression of the spinal cord or spinal nerves. It is typically considered when conservative or non-surgical back treatments, such as medication, physical therapy, or spinal injections, no longer provide relief.

Laminectomy has a high success rate in relieving pain, improving mobility, and helping patients return to the active lifestyle they enjoy.

How Surgeons Determine If Laminectomy Is the Right Option

In determining whether a laminectomy is an option for treating an underlying spine condition, your spine surgeon will look closely at several factors, including:

• Your medical history
• Persistent pain, weakness, or numbness in the neck, back, or extremities
• Limitations on your mobility and daily activity
• Response to non-surgical treatment

Diagnostic testing, such as MRIs, can be used to determine the severity of any underlying problem and whether it will respond to surgery.

The Laminectomy Procedure: What to Expect

During the laminectomy surgery, an incision is made to allow the surgeon to access and remove the lamina. This relieves pressure on the spinal cord or nerve roots. In some cases, a small amount of surrounding bone may also be trimmed to create more space for compressed nerves. Muscles are then sewn together to cover the laminectomy site.

In some cases, spinal fusion may also be performed to stabilize the spine and reduce the risk of future problems. This involves permanently joining two or more vertebrae.

Recovery After Laminectomy Surgery

Your recovery from laminectomy surgery can vary depending on your age, overall health, and whether you had additional procedures like spinal fusion. Some patients go home the same day, while others may stay in the hospital overnight.

You’ll likely be encouraged to start walking the same day or within 24 hours after surgery. Some patients may use a walker at first for added stability. Early movement helps improve circulation, reduce complications, and support the healing process. Most people can return to light activities within a few weeks, though full recovery may take several months.

Risks and Benefits of Laminectomy

Laminectomy surgery can relieve nerve pressure, reduce pain, and improve mobility, helping many patients return to normal activities with fewer limitations. It has a high success rate, particularly for spinal stenosis and herniated discs.

Your surgeon will discuss the potential risks and expected outcomes based on your specific condition and overall health.

Why Choose Hoag Orthopedic Institute for Laminectomy

When you’re a surgical patient at Hoag Orthopedic Institute’s Center for Spine, you are cared for by board-certified spine doctors trained in the latest techniques and supported by a team of specialists devoted to your full recovery.

Your dedicated care team provides pre- and post-surgery education, personalized pain management, and physical therapy to help you heal safely. When you need laminectomy surgery, we strive to ensure a faster recovery so you can return to a more active and healthier life.

At Hoag Orthopedic Institute, you’ll find nationally ranked spine specialists using the most advanced and complex surgical spine techniques to help you get back to the life you love. To schedule a free consultation and get all your questions answered, contact us or call (949) 705-6493.

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