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Doctor insights on: Laminectomy Discectomy And Spinal Fusion

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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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Dr. Thomas Dowling
1,119 doctors shared insights

Spinal Fusion (Definition)

Surgery to cause two or more spine segments to be joined together through a growth of bone initiated by the placement of bone tissue or graft taken from the patient or from a donor source or even a manufactured source which could include: bone growth proteins and particulate structures that act as scaffolds for bone to grow on and may include implants or instrumentation ...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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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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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 status post-lower cervical spine fusion and diskectomy?

What is status post-lower cervical spine fusion and diskectomy?

A term meaning that: Someone had a spine surgery involving the neck most typically from anterior or front approach involving removal of cervical disc and filling the disc space with either bone or a cage & bone as well as possibly some spine instrumentation or hardware in the lower part of the neck or cervical spine. The disc spaces range from c2-3, c3-4, c4-5, c5-6, c6-7 & c7-t1. The lower 3 would be one of them. ...Read more

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Is a laminectomy or minimally invasive foramenectomy w/o fusion better for mixed foraminal and spinal cervical stenosis?

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

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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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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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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. Stan Lee Dr. Lee
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What is spine surgery fusion?

Dr. Stan Lee Dr. Lee
3 doctors agreed:
What is spine surgery fusion?

Spine Stabilization : Spine fusion surgery locks adjacent vertebral segments together permanently. Except in the neck, it should be reserved for patients with symptomatic instability of the spine (i.e. Fracture, severe deformity, slipped vertebra pinching a nerve). In the neck, because the surgical approach to treat a pinched nerve is often through a disk, fusion without significant instability is appropriate. ...Read more

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Can neurosurgeons perform spinal fusion surgery (arthrodesis) on lower back areas?

Can neurosurgeons perform spinal fusion surgery (arthrodesis) on lower back areas?

Sure: Depends on training look for a team or a fellowship trained spinal surgeon neuro or ortho1 year of additional spine training. ...Read more

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Scoliosis cured with spinal fusion?

Scoliosis cured with spinal fusion?

Yes when indicated: Most typical idiopathic scoliosis cases are treated without surgery- most by just observation and some with bracing. Fusion is for those with a curve that has gotten too big and/or progressed in spite of non op care. Bracing has been the only documented non op care that can minimize surgical interventions. ...Read more

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Is transforaminal lumbar interbody fusion a very common procedure?

Is transforaminal lumbar interbody fusion a very common procedure?

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

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Spinal epidural block forpeople with disc extrusion?

Spinal epidural block forpeople with  disc extrusion?

Yes: It can be given in this situation but often times not preferable. The reason being, if the disc situation were to worsen during procedure positioning(ie, someone developes a neurologic deficit) it would be unclear as to what caused the deficit-the epidural or the disc. A laboring pregnant woman may receive an epidural, but the above situation and risks must be understood by patient. ...Read more

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Dr. Stan Lee Dr. Lee
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Will spinal fusion eliminate back pain?

Dr. Stan Lee Dr. Lee
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Will  spinal fusion eliminate back pain?

Unlikely: Spine surgery has predictably good outcomes for neurological symptoms (pinched nerves) and symptomatic spinal instability (i.e. Severe fracture/dislocation, severe deformity, tumor, etc.). Spine surgery for neck/back pain without a neurological component is controversial, as outcomes are unpredictable. ...Read more

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Has anyone done a posterior lumbar interbody fusion surgery?

Has anyone done a posterior lumbar interbody fusion surgery?

Sure: This is a very good operation for the right patient. It provides both decompression and stabilization and has good results for the great majority of patients. ...Read more

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How effective are disc replacement options in lumbar spine? Cervical spine?

See below: They are safe and effective and have similar results as the clasSic ACDF their advantages over the fusion are theoretical in my opinion the Acdf has a 95% chance at relieving arm pain neither are neck pain procedures , both do a good job relieving arm pain from pinched neck nerves early adopters of new technology can be surprised by outcomes since they are not as well studied without long term ...Read more

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Doctor recommended back exercises after spinal fusion surgery and rod removal?

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

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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

Fusion (Definition)

A fusion gets rid of a joint or disk between to bones, getting the bones to join together with bone between them. If successful, it eliminates almost all the motion between the bones. Sometimes fusion simply occur as a result of disease, rarely from aging. Most of the time ...Read more


Dr. Scott Tromanhauser
211 doctors shared insights

Discectomy (Definition)

Discectomy is the a surgical procedure in which the ruptured portion of a ruptured spinal disc (the pad between two vertebrae) is removed. Disc tissue near the rupture may also be removed, but usually most of the disc is saved. If a spinal fusion is needed, a more ...Read more