A lumbar laminectomy is a surgical procedure that involves the removal of part of the bony arch, known as the lamina, that covers the spinal canal in the lower back (lumbar spine). The procedure is typically performed to relieve pressure on the spinal nerves caused by conditions such as spinal stenosis, herniated discs, or bone spurs. Symptoms of nerve compression in the lumbar spine may include lower back pain, leg pain, numbness, or weakness. A lumbar laminectomy may be recommended when non-surgical treatments, such as medication or physical therapy, have failed to provide adequate relief.
During a lumbar laminectomy, the patient is placed under general anesthesia and positioned on their stomach. The surgeon makes an incision in the middle of the lower back and exposes the lamina by moving aside the surrounding muscles and tissues. Next, the surgeon carefully removes part of the lamina using special tools, thus creating more space for the spinal nerves. Any bone spurs, damaged tissue, or herniated discs that are compressing the nerves may also be removed during the procedure.
After the necessary tissues are removed, the incision is closed with sutures, and the patient is moved to a recovery area. Most patients are able to go home the same day, but some may need to stay in the hospital overnight. Recovery time varies depending on the individual patient and the extent of the surgery, but most patients are able to return to their normal activities within a few weeks to a few months following the procedure. Physical therapy may also be recommended to help with recovery and to prevent future back problems.
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