Lumbar Laminectomy
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- Опубліковано 17 бер 2021
- Dr. Shim explains what is involved with lumbar laminectomy surgery and why a patient may need it.
For more information, please visit www.shimspine.com/lumbar-lami...
Citations:
Bydon M, Macki M, Abt NB, Sciubba DM, Wolinsky JP, Witham TF, Gokaslan ZL, Bydon A. Clinical and surgical outcomes after lumbar laminectomy: An analysis of 500 patients. Surg Neurol Int. 2015;6(Suppl 4):S190-3. PubMed PMID: 26005583
Shah M, Kolb B, Yilmaz E, Halalmeh DR, Moisi MD. Comparison of Lumbar Laminectomy Alone, Lumbar Laminectomy and Fusion, Stand-alone Anterior Lumbar Interbody Fusion, and Stand-alone Lateral Lumbar Interbody Fusion for Treatment of Lumbar Spinal Stenosis: A Review of the Literature. Cureus. 2019 Sep 18;11(9):e5691. PubMed PMID: 31720159
Additional Resources:
ejns.springeropen.com/article...
I just had this procedure at the end of August. I had a laminectomy on my L3 and a discectomy on L4/L5. My leg tingling, weakness & numbness were gone instantly. However the pain levels after surgery was not what I was expecting. Stick to your prescriptions to relieve this pain.
Omg, no joke.
L4-l5 / l5-s1. Same story as you. I thought my nerve pain was the worse pain I've been in. He11 no, I couldn't move for 6 hours after surgery no matter how much pain juice they shot in my IV.
Didn't really need the pills 3 days after at home. I really wanted to finally sht
Just got told I need this February 20th. I’m worried because a lot of the comments on other videos say it didn’t fix it. Glad yours did. Everything good today?
@@unixmo5282 Yes. For the first month I could only pickup clothing. The 2nd month, 10lbs, 3rd month 20lbs and so on up to 50lbs. After that cleared. I found that ice packs & SHORT walks helped a lot. Good luck.
Thanks Dr Shim, your factual descriptions of procedures are so much appreciated. :)
Great explanation doc! Keep these coming! You should have you own show! :)
Beautiful y explained. I am also under gone to this surgery. But operation area is feeling still pain even after one month. Pl suggest something .
Thanks.
What about the new techniques of endoscopy where only part of the lamina is removed, and more stability is created? Why not discuss this new technique?
Shim boulevard
Does a lumbar laminectomy always require removal of bone from at least two vertebrae?
Does a lumbar laminectomy help to restore bladder functions and reduce or end my leg pain? If I sit I’m uncomfortable, to stand from sitting position I’m in excruciating pain! If I want to lay down or sit my leg bones creek inch by inch with excruciating pain. I need help!
Dr not guarantee that
Do they remove spinous process too as shown in ur video or only lamina
Depends on how severe the stenosis and the location. Sometimes, only the hole for the nerve call the foramen is opened. Other times, a wide decompression including removal of the lamina and spinous process is necessary.
@@ShimSpineVideos thanks for ur response
@@ShimSpineVideos will youre dr tell you this before operating. What if they said they wont remove it but when it comes to surgery they have to.
@@ShimSpineVideos with endoscopy surgery, will this not create more stability in the spine?
Wonderful video just reduce or remove the music, it’s loud and annoying!!!
What is the risk?
thats alot of bone you removed does that make youre spine weaker?
My friend had and 10 year later he needed a fusion. . 😢 I think laminectkmy creates weaknesses in the spine
What questions do you recommend the patients to ask for a follow-up visit on the procedure below:
1. Posterior lumbar decompression via L4 , L5 and S1
laminectomy, facetectomy and foraminotomy.
2. Excision of L4-L5 disk herniated fragment on the right
side.
How do they decide when it needs a fusion or not?
Your surgeon can decide with MRI. I'm fairly positive it depends on how beat your disc is and how much pain/weakness you have.
I was told this. The laminectomy is the 1st operation my surgeon offered me. It can last 2 years, it can last my life. I'm 40, and dealt with back pain for 22 years. The last 3 yrs of pain were messing w my daily life.
If the laminectomy fails after a certain time is when fusion is offered and is a whole different ballgame than a basic laminectomy.
Failed back surgery becomes a thing with fusion
Thanks. Same I’m 42 and my job is heavy lifting that messed me up. I’m scheduled for surgery no fusion . So I hope it works.Thanks
@@Tazz45 After surgery you'll obviously have surgery pain, I wasn't ready for that never having a surgery. It'll hurt for a couple days but you'll notice right away when they decompress that nerve you'll be amazed. Life changing. Stay in shape afterwards you'll be alright. Let me know how you're doing a month after. Good luck 🤜🤛
@@pointofpersonalprivilege thanks 🙏 I’ll let you know. I hope it takes the discomfort and pain. Thanks again
@@pointofpersonalprivilege hey hi. I had the surgery everything went well after 3 days the pain of the surgery goes away. The pain I had is gone feel the difference. But now I think I might have to get another surgery because I feel other areas of pain. Most likely cause I had two herniated disc they only did one. Now the area that bothers me is because of the other the hernia is pinching the nerve. But you know doc saying I have to do the protocol therapy in 3 weeks and from there will see.
Catdog
So much better without the annoyingly unnecessary blasting music over these very important words!👎