Doctor insights on:
Microdiscectomy Vs Laminectomy
Had a L5-S1 microdiscectomy and laminectomy eight months ago. Although I am no longer in excruciating bouts of pain, why is standing > 20 min so hard?
For some there is: Ongoing back pain as the disc no longer functions to support prolonged loads such as standing which is 2x body weight across the low back discs. This occurs in about 10% of miscrodisectomy cases. One should stay trim, not smoke and work on core strength as well as cardio endurance as well as flexibility to minimize symptoms - use proper body mechanics and minimize prolonged positioning. ...Read more
Removal of lamina: -ectomy means removal. Lamina is a portion of the vertebra. Google vertebra and look at a diagram. The lamina should be labeled. It is removed to decompress the nerves if they are compressed. It alleviates leg pain and leg weakness when standing or walking. It does not treat back pain. If anything, it makes back pain worse. ...Read more
It can be:
Call your surgeon immediately.
Drainage from your wound may be something simple like a seroma, but the chances are high that it may be an infection. Do not delay. Call right now if you have any drainage. ...Read more
2-5 inches: Longer if your thick.Get a more detailed answer ›
6-8 weeks: The recovery time is 6-8 weeks. Check out spine-health. Com. Good luck. ...Read more
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 more
It's not totally simple.
How many levels were operated on?
Why was it done?
A good answer for you is that walking immediately after surgery is your best exercise. You will need at least 2-3 months before you attempt any vigorous exercise. Remember that with spine surgery, this is a marathon, not a sprint.
Go low and slow with your activity to get the best result. ...Read more
Lumbar decompression: Laminectomy is standard form of spinal decompression that is slowly being replaced by newer minimally invasive techniques. The goal is to create more space for the nerve roots in the spinal canal and this can be accomplished through small openings known as laminotomies often from just one side through which both sides of the canal can be decompressed and reduces the potential for instibility. ...Read more
It Depends: Following a decompressive lumbar laminectomy, the muscles are sewn back together resulting in a firm contour immediately following surgery. Over time, this will flatten out as the muscles heal. Other 'knots' may represent muscle spasm that may respond to heat or medication. See your surgeon to be certain there is nothing of concern such as infection or CSF leak. ...Read more
3 years ago had 4 level laminectomy, 1 yr later had hardware removed. Am in continuous pain. Should I have left hardware in?
Probably not: Having extensive, more than 1 level, spine surgery has a higher association with lingering pain. Pain management may be helpful if your surgeon sees nothing new in your spine. A spinal cord stimulator can be helpful for postop spine and leg pain. This can be trialed before you buy it and allow you to see if it helps before you commit to it. Another option may be a pain pump trial. ...Read more
I was scheduled for a Laminectomy but due to my comment about a symptom of feeling like I was vibrating it was canceled. It was not environmental.
Question?: What, exactly are you asking??Get a more detailed answer ›
Would I lose height after laminectomy and full disectomy? Or gain from fusion? At 41 years old and 6'7 1/2 I would rather lose than gain at this stage.
I'm 27 what are the pros&cons of having or not having a suggested fusion and l&r laminectomy I am worried about failed fusion and repeating the surgery?
As last resort: You should only consider this surgery if: you do not smoke, are not obese, not out of shape, have failed non op treatment (physical therapy, time, medication, pain management) and have pain that affects your lifestyle such that you cannot adapt to it and there is corresponding imaging evidence of a problem that has a good chance of success for surgery. You should also get a second opinion. ...Read more
Let me explain:
All surgery have risk in general and some have particular risk because the locations.
Be sure to ask the doctor about that and how many complications he had before with this surgery. Thousands of laminectomies done in the usa every year there are about 1-3 % possible complications. ...Read more
The back part: The lamina is the flat part of the bone on the back side of the spinal bone (vertebra) that helps form the channel for the sac containing the spinal cord (neck and mid back) and nerves (low back). Laminectomy removes all or almost all of this bone without removing the small joints (facets) next to it. Surgeons usually try to limit the amount removed without compromising the operation's goal. ...Read more
Less nerve pressure: The lamina is the part of the bony spine that covers the back part of the nerve and the spinal cord. A laminectomy means removing the lamina. This can relieve some of the pressure off the spinal cord or the nerves. This can results in less pain, numbness, and/or weakness radiating into the extremities. ...Read more
Nerve decompression: A laminectomy describes any procedure where the back bony covering (lamina) of the spine is surgically removed. The purpose is to gain access to the spinal canal to remove a disk herniation, bone spur, cyst, or anything else that is putting pressure on the nerve roots or spinal cord. ...Read more
Recovery time varies: Recover time will vary depending on many factors including age, general health of the patient, infection control, smoker or not, blood sugar control, the exact type of procedure, and post-operative and follow up care. Discuss it with your surgeon and get their opinion as to what they feel is a reasonable recovery time for you. ...Read more
Healing by scar: The tissues over the area (muscle on the left and muscle on the right scar to each other, covering the dura (the sack containing the nerves or spinal cord) exposed by the laminectomy. This, and the the fat and skin over the muscle also heal. Strengthening those muscles by exercise can help recovery. ...Read more
The excision or: 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 the indications are multiple. ...Read more