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Doctor insights on: Bilateral Decompressive Laminectomy

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Can spinal fusion surgery cause bilateral peroneal neuropothy?

Can spinal fusion surgery cause bilateral peroneal neuropothy?

Neuropathy : Bilateral peroneal mononeuropathies are commonly seen in patients with mononeuritis multiplex secondary to diabetes, polyarthritis nodosa, nutritional deficiencies, and critical illness polyneuropathy. Bilateral and symmetrical presentation rises the possibility of lumbar radiculopathies or lumbar stenosis. Neuroimaging like MRI and electrophysiological studies like EMG and nerve conduction study could help in sorting this out. ...Read more

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Dr. Jeffrey Roh
217 doctors shared insights

Laminectomy (Definition)

Surgical removal of the posterior roof of the vertebral bone of the spine which is labeled the lamina to access the pinal canal where the neural tissue is found and ...Read more


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Mrireport l4l5disc bulge bilatral lumberlordosis lost spondylosis deformanswithdddwith cauda equina compression and bilateral compresive radiculopathy?

Mrireport l4l5disc bulge bilatral lumberlordosis lost spondylosis deformanswithdddwith cauda equina compression and bilateral compresive radiculopathy?

MRI report: This means you have some spinal arthritis with some nerve compression (lateral compression) and some central compression of the caudal equine (where other defending nerves travel). There is also loss of the normal lumbar lordosis curve which may signify back spasm. This can only be interpreted based on your symptoms and neurological exam. Hope this helps! ...Read more

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Is reherniation after lumbar laminectomy with discectomy possible?

Is reherniation after lumbar laminectomy with discectomy possible?

No: If there was a complete diskectomy, there is nothing left to herniated, but if the surgeon just shaved the disk, then re-herniation can occur. ...Read more

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Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery?

C4/5 surgery risks: Compressed right ventral cord @ C4/5 due to disc protrusion. Spinal column 9mm. Severe bilateral foraminal stenosis. Pain. Risks to forgoing surgery? ANS: Only you and your team in LA can properly assess risks and benefits of surgery vs watchful waiting in you. You may want to get second opinion as well. Sounds serious to me though. So work with them now. ...Read more

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What spinal fusion surgery?

What spinal fusion surgery?

Joining bone togethe: A spinal fusion is a procedure used to join two spinal motion units together. It is designed to stop all motion of the motion segment. It may be performed with or without the usages of screws and rods. It is performed for spinal instability . It is like welding 2 pieces of metal together. ...Read more

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What is decompression laminectomy?

What is decompression laminectomy?

Spine surgery: Decompression laminectomy is where the surgeon takes off the bone and lamina on the backside of the spine. It is most commonly done for spinal stenosis where there is a narrowing of the spinal canal and it can be a useful procedure depending on the patient's symptoms. ...Read more

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How effective is having spinal fusion with decompressive laminectomy?

How effective is having spinal fusion with decompressive laminectomy?

Depends on reason: This depends on the reason for this type of surgery, the number of levels involved. , whether this is a repeat surgery, the health and age of the patient, the smoking status of the patient, their weight and nutritional status and other co morbidities or problens like diabetes, thyroid disease, etc.. The bone density can also play a role, ie, osteoporosis. ...Read more

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What is posterior spinal fusion with instrumentation surgery?

What is posterior spinal fusion with instrumentation surgery?

A type of spine : Surgery where implants which are usually several screws that attach to the bones of the spine and are then interconnected over one or more levels with usually a pair of metal rods -this is the instrumentation. A fusion is a healing together of two or more spine bones or vertebra with the use of bone material or synthetic substitutes. ...Read more

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What is spinal decompression and spine fusion surgery?

What is spinal decompression and spine fusion surgery?

Different surgeries: Spinal decompression surgery is performed nerve root impingement-usually from bone or ligaments in the spinal canal or where the nerve roots exit-the neuroforamena. Generally called a laminectomy, it involves removing bone and ligament from the spine. A spinal fusion locks together two or more segments of the spine, usually with screws and rods. Bone is added as well to allow the bones to knit. ...Read more

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Cause of bilateral thigh pain after failed spinal fusion?

Cause of bilateral thigh pain after failed spinal fusion?

Thigh pain: My first answer is missed hip arthritis. This causes pain from groin to knee, worse getting up from sitting. Commonly missed by spine surgeons too focused on abnormal MRI and not performing a complete exam. Not intentional, just happens. If fusion has failed, this could also cause pain into groins/thighs. A good exam and studies including x-rays would be helpful. ...Read more

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L4/l5,posterior disk bulge,central disc protrusion indenting thecal sac.Causing bilateral lateral recesses and lower segments bilateral neural foramin?

L4/l5,posterior disk bulge,central disc protrusion indenting thecal sac.Causing bilateral lateral recesses and lower segments bilateral neural foramin?

Report: You need to take the results in combination with the clinical findings. Ask the attending doctor to explain th findings in conjunction with your complaint ...Read more

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Fix without surgery?large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem

Fix without surgery?large diffuse disc protrusion L5-S1 w/caudal extrusion. Severe bilat/lat recess steno-severe central steno-severe bilat foram-stem

That is a MR Dx. : If U have no symptoms no need 2 treat. If U have severe symptoms U can buy some time with epidural steroids but not permanent. Surgery is very successful if symptoms match the MR findings. Good luck. ...Read more

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Hi,,impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?

Hi,,impressions show compression of L5 nerve root spinalcanal narrowing bilateral neural foraminal narrowing at L4 l5.diffuse posterior disc bulge at?

Sounds like a fairly: Typical read for a male over 50 years old. Many findings are normal for age and sex as described here. They may not be related to symptoms or may cause symptoms. That is why a careful history and physical exam must be done in conjunction with imaging studies to fully assess the issues presented by the patient. ...Read more

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Whats bilateral lumbar facet injection?

Whats bilateral lumbar facet injection?

For Back Pain: Lumbar facet injections are meant to be diagnostic and not therapeutic to see if the facets are the cause of back pain. They should always be done under fluoroscopic guidance and pain always should be recorded on a scale for 6 hours following the procedure. If greater than 50% relief for at least six hours this proves facet mediated pain and a rhizotomy may be indicated for longer lasting relief. ...Read more

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Lumbosacral spondylosis with disc degeneration, mild posterior disc bulge at l3-4level indenting thecal sac, lateral canals & neural foraminae, treatment?

Lumbosacral spondylosis with disc degeneration, mild posterior disc bulge at l3-4level indenting thecal sac, lateral canals & neural foraminae, treatment?

DDD=arthritis: Arthritis/spondylosis of the disc is ddd. Like wrinkles of skin, ddd happens to everyone to some degree. It starts to be evident on MRI late teens and early 20's, progressing with age. Ddd/arthritis does not = pain. So don't let the diagnosis bother you. Treatment is specific to the pain. If back pain, nonsurgical. Nsaids/tylenol, pt/core strength. For sciatica, above plus nerve root injections. ...Read more

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Hows spinal decompression done?

Hows spinal decompression done?

Surgical: If you have spinal stenosis that require surgery, then a laminectomy is usually the type of surgery that would resolve the tightness. If you have a room that is full of people, and you want to make the room bigger you take the roof off. Essentially the lamina is the roof of the spinal canal and this can be removed to make more room for the spinal nerve elements. ...Read more

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Lumbar stenosis surgery safety?

Very safe: Most of these surgeries are done on an out patient basis w/ the patient returning to work w/in few days. These surgeries are done on a minimally invasive fashion w/ typically excellent results. ...Read more

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Does lumbar spinal stenosis require surgery?

Does lumbar spinal stenosis require surgery?

Depends: If the symptoms aren't bad then i generally do not recommend surgery. If someone can't walk a block and has failed physical therapy and epidural steroids, surgery can be helpful. ...Read more

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What are the pros/cons of a 3 level cervical laminectomy w/o fusion vs a keyhole endoscopic decompression for stenosis(disc &spurs compressing nerves?

Complex: It is a little complex to fully discuss in such a forum; but a for amounting would be appropriate if you are just having symptoms of foraminal stenosis causing pain in the arm, where a laminectomy may be needed if you have problems related to central cord compression. Definitely would need to discuss face to face with your surgeon. ...Read more

Dr. Jeffrey Roh
188 doctors shared insights

Decompression Laminectomy (Definition)

Lamina is the back side wall of bony tunnel where spinal cord and nerves travel. It can be removed to eliminate pressure (decompression), if you ...Read more