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Laminectomy: What, When, Why, and everything you need to know
Let's identify whether or not you are the candidate for a laminectomy. We will talk about how this procedure will treat your symptoms. Its related possible risks and how to select the ideal medical service provider will also be explored.
The surgical removal of the lamina (a vertebral component) is known as a laminectomy. Excision of the lamina is completed, either partially or completely. The goals of this approach free the available space. The spinal canal wall is removed in order to do this. The most suitable applicants are those with narrow spinal canals. Arthritis, disc slip, trauma, or any close tumor could all be at reason for this. The patient is relieved when the cavity is enlarged. With more space in the spinal canal, the pressure effects are decreased. Depending on the location of the abnormality, types of laminectomy are:
- Cervical laminectomy;
- Thoracic laminectomy;
- Lumbar laminectomy;
- Sacral laminectomy.
When to undergo Laminectomy?
Chronic symptoms of spinal cord compression are the primary indicator. Chronic refers to conditions that have persisted for a long time without responding to treatment. These patients frequently have the following symptoms:
- Constant backache minimally relieved by medicine.
- Muscle twitching that spreads to the limbs.
- Muscular weakness that makes walking difficult.
- Urinary or bladder incontinence.
- Muscle cramps.
A laminectomy can be used to treat these problems. Standard of living can be improved after this.
Does laminectomy involve any risks?
Every surgical procedure includes some risk factors. The laminectomy is the same. It is generally a safe process. It is less likely to develop issues. The following are a few possible problems:
- Infection at the surgical site;
- Blood loss;
- Spinal cord injury that results in paralysis;
- Spinal nerve damage;
- Spinal fluid leakage if the spinal cord's protective coating gets damaged;
- Clotting of blood;
- An allergic response or any other anesthesia-related complications;
- Recurrence of symptoms after a failed procedure.
Before having the surgery, it is important to know about all possible complications. You should consult your surgeon to have better understanding.
What to anticipate before undergoing a laminectomy?
Both your surgeon and anesthetist will assess you. He will examine you to know the severity. Your surgeon will also assess how much of the spinal cord is compressed. There may be a need for tests like X-rays, CT scans, and MRIs. In order to examine your cardiopulmonary health, an anesthetist will also check your medical history. To carry out the treatment successfully and without any issues while under anesthesia, this is required. Some drugs you are taking may need to be stopped. These include taking blood thinners and fasting for a number of hours before surgery.
What happens during the procedure?
To put you to sleep, you will be given anesthesia. A cut will then be made on the back of the targeted vertebrae by the surgeon. The lamina will be taken out along with any bony spurs that may be present once the vertebrae have been exposed. Your physician will next stitch the wound closed layer by layer.
What to expect after the procedure?
You will stay in the recovery room till the effects of anesthesia wear off. Then your doctor will prescribe you some pain medicines. And you will also be guided about proper wound care and related guidelines.
Are laminectomy and discectomy the same thing?
No, both are different from each other. As discussed, laminectomy is the removal of lamina. Discectomy is a herniated disc removal. The aim of both these procedures is the same. Both increase the area of the spinal canal. Depending on the cause of spinal stenosis, your doctor will determine best suited procedure. Sometimes both these techniques can be used simultaneously.
Why is a laminectomy indicated?
It releases the pressure that is exerted on the spinal cord and the nerves passing nearby. This pressure can either be due to trauma, disc slip, or tumors that are spreading into the spinal canal.
How long does recovery from a laminectomy take?
The time required to recover after surgery is highly variable. Recovery time ranges between a few weeks to few months after laminectomy. You will receive postoperative care instructions from your surgeon. He will also tell you about the time of discharge from the center and return back to normal activities. Physiotherapy is the key factor for recovery after this surgery.
How to choose my surgeon and services?
The choice of a medical practitioner is very important. Here are some considerations:
- Experience: Choose a surgeon who has conducted many laminectomies. This surgeon needs to have a track record of accomplishment.
- Credentials: Check the surgeon's board certification status that the surgeon has the necessary education and training.
- Facility: Pick a hospital or clinic with innovative facilities and equipment. It is essential to have an experienced staff that can provide high-quality care while still respecting your privacy.
- Reputation: Check online reviews and ask friends, relatives, or your primary care physician for recommendations.
- Insurance: Verify with your insurance provider whether the facility and the surgeon are covered under your policy.
- Cost: Request details on the procedure's overall cost, including any pre- and post-operative expenses. Make sure you understand what your insurance will cover.
With the given information you'll be able to choose the best service provider according to your health needs.
Conclusion
Laminectomy can be an effective procedure to treat spinal cord issues. Consideration must be given to both the benefits and potential dangers of the proposed course of treatment. Opting for a healthcare professional that holds proper qualifications and a wealth of experience becomes incredibly significant. This will not only improve your chances of success as well as the quality of your life.