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M.S. (Ortho), FRCS (Edin), M.Ch (Orth), Liv.UK
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30 years experience overall
Jubileehills , Hyderabad
The choice between laminectomy and discectomy depends on the patient’s condition and treatment goals. Laminectomy removes part of the lamina to relieve nerve pressure, while discectomy removes herniated discs. A doctor will decide the appropriate procedure.
If a laminectomy fails to provide relief, further evaluation is needed. Additional treatments may be recommended, such as physical therapy, medications, or revision surgery, depending on the cause. A tailored treatment plan will be formulated.
Post-laminectomy syndrome, also called failed back surgery syndrome, refers to continued or recurring pain and symptoms after laminectomy. Causes can include incomplete nerve decompression, scar tissue, or new spinal conditions.
The recovery time for an L4-L5 laminectomy can vary but generally involves returning to normal activities within 4 to 6 weeks while following doctor’s guidance.
Eligibility depends on the patient’s condition and history. Generally, patients who haven’t responded to non-surgical treatments and experience persistent pain or neurological symptoms may be considered. A specialist evaluation is necessary.
No, the removed portion of the lamina does not grow back after a laminectomy. Healing involves surrounding tissues and potential scar tissue formation.
Bending or twisting immediately after a laminectomy can strain healing tissues and increase complications risk. Following doctor’s movement restrictions and gradually resuming normal activities is important.
Post-procedure care involves following doctor’s instructions, taking prescribed medications, avoiding strenuous activities, and possibly attending physical therapy.
The duration of the laminectomy procedure itself can range from 1 to 3 hours, but this does not include pre-operative preparations and post-operative recovery time.
Recovery time for laminectomy varies but typically involves a few days in the hospital and full recovery within 4 to 6 weeks, with adherence to post-operative care instructions.
Preparation may include pre-operative tests, medication adjustments, and fasting before the procedure. Specific guidelines will be provided by your doctor.
Laminectomy is typically performed by a neurosurgeon or an orthopaedic surgeon who specializes in spine surgery.
Laminectomy procedures can vary depending on the extent of the surgery required. Some common types include simple laminectomy, hemilaminectomy, bilateral laminectomy, and laminotomy.
The success rate of laminectomy depends on various factors and is generally high in terms of relieving symptoms and improving the quality of life for patients.