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Complications Lumbar Laminectomy In Recovery
Physical therapy: After a lumbar spine fusion with instrumentation, most patients are mobilized within a day or two. They progress with physical therapy. The incisions are usually healed within a week. Ultimately, the fusion needs to become solid. This may take about 3 months. During that time physical therapy is key in getting the patient moving and overcoming the pain from surgery which can be significant. ...Read more
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
Mom has severe osteoarthritis in spine. Had cerv. Laminectomy. Lumbar surgery to put rod in recommended. Consequences of no surgery?
This varies as to : The type of fusion done, number of levels involved as well as the type of instrumentation ( if any) that was used. In general, assuming normal healing ( not smoking, not a diabetic, not a revision surgery, not hypothyroid or malnourished) usually after several months for most activities with fusion 6 months to a year to all activities -closer to a year for activities like golf. ...Read moreSee 2 more doctor answers
It is very common.: Transforaminal interbody fusion, or tlif, is a common spinal procedure. It is just one of many tools used in spine surgery. It's important that the decision for surgery be made carefully, and that the particular combination of procedures be individualized for a person's anatomy and symptoms. ...Read more
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 moreSee 1 more doctor answer
This is dependent on: Several factors including one's health status & physical conditioning, any associated instability of the spine, whether obese &/or a smoker, any underlying diabetes or neuropathy, evidence of any peripheral vascular disease-but in general, when indicated appropriately , 85% success rate --generally 6-8 week recovery depending on number of levels involved in spine that has not had any prior surgery. ...Read moreSee 3 more doctor answers
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
Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?
Ask your surgeon(s): They'll review your imaging with you and discuss your options. But before further surgeries, you mention physical therapy and cymbalta, (duloxetine) but there may be other non-surgical options including other medications, pain psychology and interventional pain procedures that may be helpful for your condition. Good luck! ...Read more
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 moreSee 2 more doctor answers
Are headaches after undergoing a anterior cervical discectomy plus spinal fusion significant or common?
They can be: Headaches are tricky, sometimes they are primarily caused by cervical spine problems, often times they are exacerbated by them, but it is difficult to predict whether surgery will ever help them, except in the case of an obvious c34 disc and radiculopathy with occipital nerve type pain which is mechanical. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Not as good : Some orthopedic surgeons and neurosurgeons feel the results in operating on smokers are so poor that they require their patients to quit smoking prior to surgery. Smoking markedly decreases healing rates as well as reducing success rates in general. There are many reasons for people to quit smoking, and in those facing bone surgery, there are even more urgent reasons. ...Read moreSee 1 more doctor answer
Activity after fused: Given that rods were removed, i must assume that the fusion is solid. Therefore, there are really no restrictions for you in a solidly fused lumbar spine. Core exercises like pilates/piyo/yoga are great (your flexibility will be limited, obviously). Aerobic exercises as tolerated and continue to progress as tolerated. ...Read more
20 yo son to have a lumbar laminectomy this week. How rare for a 20yo and what is recovery time ?
This depends on : Several factors: your age, physical condition, underlying medical issues, your weight, smoking status, the diagnosis for your surgery and number of levels involved as well as presence of any other spine issues other than the one addressed by the surgery. In general, most people are bactk to their usual routines in 6-12 weeks after surgery? ...Read moreSee 1 more doctor answer
The excision or : Surgical removal of the posterior roof of the vertebral bone of the lumbar (lower back) spine which is labeled the lamina to access the spinal canal where the neural tissue is found and the indications are multiple. There are 5 lumbar vertebra. ...Read moreSee 2 more doctor answers
This is done for : Spinal stenosis or a large disc herniation causing predominantly leg pain that has failed non op care including: time, medication, physical therapy and possibly epidural steroid injections. It should not be done for predominantly back pain or in someone with imaging evidence of instability as the sole procedure. ...Read moreSee 2 more doctor answers
That is a good one : There can be many reasons including that maybe you should not have had the laminectomy in the first place to that you are out of shape or you never were rehabilitated correctly or this is not your first spine surgery or you smoke, are obese or have underlying medical problems or multiple other sources for your back pain other than the one addressed by the laminectomy. Speak to your surgeon. ...Read moreSee 1 more doctor answer
Depends on: That depends on your age and health status and how conditioned or deconditioned you wree at the time of sugery and how many levels were involved in your surgery but generally 3 months. ...Read more
How long should i expect pain to last after a lumbar laminectomy? When should I go back to the dr if pain continues?
See below: It really depends on what was done at surgery and the preferences of the surgeon. Most surgeons that i work with prefer a simple walking program in the first several weeks after the surgery and we may then get into more of a conditioning, endurance and strength training. ...Read moreSee 1 more doctor answer
Foot Drop: Any operation around the lumbar spinal canal can put nerve roots at risk. The most common levels are between l4/l5 and l5/s1. The nerves at these levels control calf muscles responsible for raising or lowering the toes and although new weakness or paralysis is not common, there will always be a small potential risk. ...Read moreSee 1 more doctor answer
7 days post lumbar laminectomy. Up and about. Any need to continue compression stockings at night?
Could Be: How much pain pain you are in depends on the type of surgery and how much nerve damage you had before that. In many cases the leg pain goes away when the pressure is taken off the nerve. How quickly that happens may depend on how long you have had the problem and whether or not there is any nerve damage. In most cases people do improve. The is what is the exact diagnosis and the best treatment. ...Read moreSee 1 more doctor answer
Sometimes: It can be related to how you were sutured to developing a collection of fluid under your incision like a hematoma or seroma. Or more occasionally from a spinal fluid leak -sometimes it is do to a remaining adjacent spinous process that is now prominant as the others were removed as part of the laminectomy. ...Read moreSee 2 more doctor answers
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