Back or neck pain that interferes with normal daily activities may need surgery for treatment. Laminectomy is a type of surgery in which a surgeon removes part or all of the vertebral bone (lamina). This helps ease pressure on the spinal cord or the nerve roots that may be caused by injury, herniated disk, narrowing of the canal (spinal stenosis), or tumors. A laminectomy is considered only after other medical treatments have not worked.
The average cost of laminectomy in the U.S is $80,000
Surgery duration: several hours
Duration of hospital stay: You might go home the same day as the surgery, though some people need a short hospital stay
Step 1: Incision
Anesthesia is applied so you will be sleep and won't feel any pain. General anesthesia
An incision will be done in your back over the affected vertebrae
The surgeon will move the muscles away from your spine as needed
Step 2: Lamina removal
The surgeon removes the bony arch of the posterior part of the vertebra (lamina)
If the surgeon needs to treat a herniated disc, the herniated portion or any pieces that have broken loose of the disk will also be removed (Diskectomy)
In some cases, spinal fusion may be done at the same time. Please go to the Spinal Fusion Surgery guide to learn more about the procedure
Step 3: Finalize procedure
The incision will be closed with stitches or surgical staples
You will be asked to fast for at least eight hours prior to the surgery
After disclosing to the doctor any medication you might be taking, you might get asked to stop taking them
If you are a smoker, it is recommended to stop smoking prior to the intervention, usually around a month prior.
Your doctor might ask for some additional imaging
Usually, you will be given antibiotics to help prevent post-surgical infection
Surgery duration is around 2 hours
You might get an IV line
Excessive hair from the surgical area will be clipped off
The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery
After the surgery:
You will be moved to a recovery room for observation
You might go home the same day as the surgery, though some people need a short hospital stay
You may be able to return to work within a few weeks, depending on the type of job that you do
Your pain will be controlled with medication so that you can participate in the exercise
Once at home, it is really important to follow all doctor´s guidelines
Keep the incision area dry and clean
Follow the bathing instructions
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