Great! I had a successful L5-S1 laminotomy and diskectomy over 25 years ago, and I wish this video had been available then. My surgeon was skilled and helpful, but there's nothing like seeing the actual procedure (on a plastic model) to understand what the operation does. Clear explanation too. Thanks!
Most personable presentation on this info I have seen. I have very bad stenosis and am looking forward to surgery ASAP. I guess I am a "visual" learner and this presentation explained TO MY EYES just what I needed to know. THANK YOU SO MUCH, DR. WEBB.
Just had laminectomy at L4/5 and L3/4 after previous procedure at L5/S1 a few years ago. The second procedure was way more painful than the first. But I am hopeful that my worst symptoms will fade over time. I appreciate and am grateful to medical science and its dedicated practitioners. Thanks for the informative video!
I’m having this procedure in ten days!! This will be my fourth surgery since 2019. Of course, my three prior surgeries were on different areas of my body. I’m a tad nervous to have spine surgery. But more than anything, I’m looking forward to the relief I will get post-op. I appreciate the well informed video!
@@BionicWoman78 Are you able to lift anything like a computer bag, boxes, or a kitchen chair? I am having this done in June and trying figure out how long I will be out of work. Glade you're healing up, I can't wait to be able work pain free again.
@@333jfish No bending, no lifting anything heavier than 10 pounds, and no twisting for six weeks after surgery. I’m right at six weeks now and my body lets me know when I’ve done something I shouldn’t or when I’ve done too much. I have a desk job, working from home and I’ve been off for six weeks. I return 5/8.
@@BionicWoman78 Thank you, I do not have a desk or not full time one anyway. Only about 10% my work day is at desk. I do get quit a bit of windshield time in tho.
I'm 1 month post laminotomy/scs revision, and having a better understanding of the procedure really helped with some of the anxiety leading up to the procedure. Thanks for making this videos Dr. Webb
Thank you Dr. Webb I had a Hemi-Laminectomy and micro disc with some local spur gardening in 1989 by an amazing surgeon. He was a very highly skilled, Head of Neurosurgery and as I recall at the time I thought his fingers were like sausages that could be a challenge for him to perform. techniques Well not a problem, he did an excellent and I am doing okay today with some lumbar back aching but doing fine. I was in hospital for 3 days and flat on my back for about 4 weeks. In contrast, my sister had a similar procedure recently and was in hospital overnight and up and about the next day starting PT in a just few days. MIS access and other new techniques are impressive Thank you for sharing. God bless.
@@antoniowebbmdI’m heading into a Neurosurgery Fellowship interview tomorrow and was doing some prep 😉 Little did I know that I’d find someone that is both brilliant and humble, you are everything I want to be “when I grow up.”
Doc this is amazing... I need to see you soon! Coming from corpus and i found out you are in my network for insurance! Looking forward to seeing you soon.. wish it was under different circumstances 😅
Maybe I'm just a dumb layman --- but the Rongeur seems like a barbaric crude surgical tool? Why not some kind of tiny powered saw for cutting away the lamina bone?
I have had 2 lower back surgeries the first in 2005 due to a herniated disc at L4 - L5, had to go back in 2015 because I was in a lot of pain, they removed the screw and rods at L4 - L5 and made a cage at L5 - S1. In 2019 I had surgery on my neck because of spinal stenosis at C2 - C4. Now I have to have more surgery under that surgery site. I’m only 50 years old and will have had 4 spinal surgeries. The other 3 were preformed but Orthopedic surgeons and my pain doctor is sending me to a neurosurgeon.
Just so you know, there is generally no difference in outcome between an orthopedic surgeon or neurosurgeon as long as they have been through a spine fellowship. Good luck to you on your next surgery
Does removing the spinous and lamina affect joint stability of that vertebra? Over a several year period, do you see any repair or degenerative changes to the bone structure around the laminectomy? thanks
Are you able to do a video about ankylosing spondylitis and what it is, what it does and what treatment options there are please? I have ankylosing spondylitis and I’m not very sure as to what it is and what it’s long term effects are and what sort of treatment options there are, I’m currently on imraldi adalinmumab anti tnf injections Would really appreciate it All the best
Thank you very good understanding I had a lumbar laminectomy I lost the feeling in my big toe okay but I get paid on my right side I went back to the doctor he really doesn't know😮
Does the removal of the spinous process affect the patients life in anyway later on? Lifting bending or any activities the patient can't do afterwards?
I'd be interested in this topic as well. I had a Laminectomy on the right side (L4/L5) back in 2016 due to a synovial cyst. This year, I was diagnosed with L4/L5 Spinal Stenosis. My surgeon recommended a Laminectomy on the left side, again in the L4/L5 region. I'm hesitant to have the surgery due to the fear of further weakening my spine. It would be great if you could speak to the risks of this procedure.
My mom, who is in her mid-70s, has spinal stenosis that has worsened over the past four years. She has pain and tightness in her buttocks and hips and her feet go numb very quickly when she stands making it hard for her to do much of anything. She's nervous to have surgery as most people are but I'm hoping she'll consider this before it's too late. She has a neurosurgeon she's been talking with for two years and he has excellent reviews but he did say the surgery won't help the numbness in her feet. I'm wondering if that's true, though, since it's seems like opening up the space for the nerves would help that numbness go away, even if only by some percentage.
I'm fused from C4-7 with ruptured disc at C3-4 that's pushing on my spinal cord. Nearly 10 years since my last ACDF, and scared of 4th cervical surgery.
Thanks for the video it was very helpful, do you also do ultrasonic surgery or shed any light on this type of surgery? I will probably need surgery for spinal stenosis, a disk bulge, and arthritis all in my lower 4 and 5
I'm dealing with cervicale stenosis C4/C5/C6 since 2019 and already had multiple infiltrations to relieve the pain, if I decide to get surgery what would be the correct procedure and how long would recovery be Thx in advance
Hi dr. What happen to the bone that missing ? It is a spine and if it was removed and scooped out a portion, can the person walk or do anything after that?
I had this procedure to remove a neuro fibroma dumbell sheeth tumor. I am still recovering from this procedure. Although, I am yet to find an institution that can provide sustainable life for day to day activities.
I had back surgery in March of 2011. I'm not sure what they called it. They took the disc's out between S1 and L5 and between L5 and L4. Put rods, spacers, screws and bone from my hip in to encase everything.
a spinal fusion a believe is what youre describing. my spine is fused at l5-s1,they removed the disc, used bone from my hip and then theres some hardware keeping it together
I recently had a laminectomy L2-L4. The surgeon assured me before that it would NOT create instability in the back. But I don't see how that promise is possible if he's removing one or more spinous processes - in addition to some of the lamina. This was not explained well.
I had this surgery at L5 S1 with being appartly invalid in oktober 2023 with success, could do sport after that a few months later... But now in september 2024 it happend again...my disc poppet again and now we are waiting a few weeks to decide, if i need a suergery again. I feel trash
But doesnt the tradional laminectomy destabilize the lower spine because of the total bone removal ? Also , wont more bone, and scar tissue try to regrow in that area causing the process all over again within a short time ? Don't get me wrong , if you're losing feeling, and strength in your legs you have to do something .... But Pain relief in that area isn't always what is expected..... I would certainly try ANY non or minimally invasive treatment before cutting bone away ! And wouldnt the spinal cord be less protected in that area ?
Dr. Webb, how can I reach you? I’m in San Antonio and tried to schedule an office visit with you. It was made online but your office cancelled it because I don’t have my surgical notes since my surgery was under 3 years. I am in a lot of pain and I really need to be seen by you. Perhaps your office can request my records which is common. I will sign whatever release forms in order for you to see me.
LOL! The FUNNY thing is that BOTH methods are really good for NOTHING but making MONEY for the surgeon! Don't believe me? Ask them for a money BACK if NOT satisfied guarantee and see what kind of response you get.
@@Cinnamints1226 Easy, if you're STILL in pain after the surgery, they REFUND your money. Watch how quickly the number of surgeries performed would spiral DOWNWARD.
Its not a cosmetic surgery where u can get a money back..its not for aesthetic purposes. This is actually for a medical purpose (alleviate pain). Its not to completely remove the pain. As we grow older, obviously, our bodies would age more and other parts of the spine will be affected. It doesnt completely cure, it just alleviates :) Same with chemotherapy. U cant really say 100% youll be cancer free after the therapy and you dont see patient asking for a refund once its done and they have a remission. You can only get a refund for cosmetic purposes (if stated in the surgery procedure consent paper before u sign it)
@@fragslap5229oh so the room, instruments and all the medications given to u at that time plus the professional fee of nurses and doctors become free? :) thats not how it works. I dont think anybody would want to operate on you as well. You're a liability.
Even as a medical provider I find these videos helpful. Keep it up!!! 🙂
Great! I had a successful L5-S1 laminotomy and diskectomy over 25 years ago, and I wish this video had been available then. My surgeon was skilled and helpful, but there's nothing like seeing the actual procedure (on a plastic model) to understand what the operation does. Clear explanation too. Thanks!
Most personable presentation on this info I have seen. I have very bad stenosis and am looking forward to surgery ASAP. I guess I am a "visual" learner and this presentation explained TO MY EYES just what I needed to know. THANK YOU SO MUCH, DR. WEBB.
Just had laminectomy at L4/5 and L3/4 after previous procedure at L5/S1 a few years ago. The second procedure was way more painful than the first. But I am hopeful that my worst symptoms will fade over time. I appreciate and am grateful to medical science and its dedicated practitioners. Thanks for the informative video!
I’m having this procedure in ten days!! This will be my fourth surgery since 2019. Of course, my three prior surgeries were on different areas of my body. I’m a tad nervous to have spine surgery. But more than anything, I’m looking forward to the relief I will get post-op. I appreciate the well informed video!
How did your recovery go?
@@phdreed Pretty good. I’m now five weeks post-op and am able to walk without pain!
@@BionicWoman78 Are you able to lift anything like a computer bag, boxes, or a kitchen chair? I am having this done in June and trying figure out how long I will be out of work. Glade you're healing up, I can't wait to be able work pain free again.
@@333jfish No bending, no lifting anything heavier than 10 pounds, and no twisting for six weeks after surgery. I’m right at six weeks now and my body lets me know when I’ve done something I shouldn’t or when I’ve done too much. I have a desk job, working from home and I’ve been off for six weeks. I return 5/8.
@@BionicWoman78 Thank you, I do not have a desk or not full time one anyway. Only about 10% my work day is at desk. I do get quit a bit of windshield time in tho.
I'm 1 month post laminotomy/scs revision, and having a better understanding of the procedure really helped with some of the anxiety leading up to the procedure. Thanks for making this videos Dr. Webb
Brilliant. As an aspiring spine surgeon it is good to see representation in the media.
Thank you Dr. Webb I had a Hemi-Laminectomy and micro disc with some local spur gardening in 1989 by an amazing surgeon. He was a very highly skilled, Head of Neurosurgery and as I recall at the time I thought his fingers were like sausages that could be a challenge for him to perform. techniques Well not a problem, he did an excellent and I am doing okay today with some lumbar back aching but doing fine. I was in hospital for 3 days and flat on my back for about 4 weeks. In contrast, my sister had a similar procedure recently and was in hospital overnight and up and about the next day starting PT in a just few days. MIS access and other new techniques are impressive Thank you for sharing. God bless.
I had a L5 S1 hemilaminotomy. I had a tumor in my spine. Immediate relief after surgery! Thanks Doc
I really enjoyed seeing you drill on the plastic spine. Interesting to see that process up close
Just had a lamineotmy glad i watched this after the surergy! Super informative and helps explain why im soo sore. Thanks Doctor! !
I had a laminectomy, it's very interesting to see exactly what was done.
How did it go? I have one coming up and idk what to expect
Glad I had it done. Takes a while to heal after p/t. Hang in there. Good luck.👍@@RegularSizeRudy91
I had a lumbar laminectomy also
@@RegularSizeRudy91 It went well. Slow recovery. Painful, a lot of p/t. Stayed active & doing better than I ever thought I would. Good luck!
@@jcaleca60 Hope it went well!
Nicely explained. Loved this !
Best video I've seen. Very well described and illustrated
Thank you Doc! I'm looking at this procedure to relieve my nerve pain and weakness in my right leg.
I M having this procedure done Monday, excellent explanation I'm at ease now
All the best
How did the spinal procedure go?
Dear Antonio, your videos are fantastic!! Have a good day!!!👍🏻
Ive had the decompression surgery,ten yrs ago ,2mnths ago ive had to have the bone fusion,had a slipped disc.rehabilitating now
Awesome job Doc - very clear to understand. The demo was great too!
Thank you. Glad you enjoyed it.
@@antoniowebbmdI’m heading into a Neurosurgery Fellowship interview tomorrow and was doing some prep 😉 Little did I know that I’d find someone that is both brilliant and humble, you are everything I want to be “when I grow up.”
Brilliant! Thank you Dr Webb!
An excellent overview explaining the procedure that lies ahead of me. Thanks.
Awesome! Thanks for that demonstration 👍🏾
Your very fine explanations with 3D images and doing surgery on the model of the back make the best video i've ever seen. Congratulation 👍👏
Doc this is amazing... I need to see you soon! Coming from corpus and i found out you are in my network for insurance! Looking forward to seeing you soon.. wish it was under different circumstances 😅
I’m being scheduled for a Lami as I write this. Excellent job explaining and demonstrating how it’s done. 👏🏽👏🏽❤️ Thank you.
Thank you!!
@@antoniowebbmd if bone removed, do the spinal need fusion ?. Is it ok to keep the back without bone which protect the nerv.
Maybe I'm just a dumb layman --- but the Rongeur seems like a barbaric crude surgical tool? Why not some kind of tiny powered saw for cutting away the lamina bone?
thank you Doctor , please can you make a video about the laminectomy procedure ?
Outstanding video!
I have had 2 lower back surgeries the first in 2005 due to a herniated disc at L4 - L5, had to go back in 2015 because I was in a lot of pain, they removed the screw and rods at L4 - L5 and made a cage at L5 - S1. In 2019 I had surgery on my neck because of spinal stenosis at C2 - C4. Now I have to have more surgery under that surgery site. I’m only 50 years old and will have had 4 spinal surgeries. The other 3 were preformed but Orthopedic surgeons and my pain doctor is sending me to a neurosurgeon.
Just so you know, there is generally no difference in outcome between an orthopedic surgeon or neurosurgeon as long as they have been through a spine fellowship. Good luck to you on your next surgery
Thank you for the clear explanation, much appreciated! ❤🙏💐
Thank you for your sacrifice 🙏
Those models aren't cheap!
Does removing the spinous and lamina affect joint stability of that vertebra? Over a several year period, do you see any repair or degenerative changes to the bone structure around the laminectomy? thanks
I was wondering the same thing…..How does it affect the integrity of the rest of the bones and spine.
You sure do.
I have DJD as well as stenosis. If only I was going to be here in San Antonio for more than a few weeks…
You are amazing Dr.Webb! Thank you for sharing your knowledge with us❤️
Amazing. Doctor can someone with osteoporosis still get this surgery?
Are you able to do a video about ankylosing spondylitis and what it is, what it does and what treatment options there are please? I have ankylosing spondylitis and I’m not very sure as to what it is and what it’s long term effects are and what sort of treatment options there are, I’m currently on imraldi adalinmumab anti tnf injections
Would really appreciate it
All the best
Awesome video
Thank you very good understanding I had a lumbar laminectomy I lost the feeling in my big toe okay but I get paid on my right side I went back to the doctor he really doesn't know😮
Does the removal of the spinous process affect the patients life in anyway later on? Lifting bending or any activities the patient can't do afterwards?
Awesome presentation, thank you
So helpful thank you for this video
I'd like to know the cons of this treatment, like how weakened is the spine and can the disk now move even more out of place etc
I'd be interested in this topic as well. I had a Laminectomy on the right side (L4/L5) back in 2016 due to a synovial cyst. This year, I was diagnosed with L4/L5 Spinal Stenosis. My surgeon recommended a Laminectomy on the left side, again in the L4/L5 region. I'm hesitant to have the surgery due to the fear of further weakening my spine. It would be great if you could speak to the risks of this procedure.
My mom, who is in her mid-70s, has spinal stenosis that has worsened over the past four years. She has pain and tightness in her buttocks and hips and her feet go numb very quickly when she stands making it hard for her to do much of anything. She's nervous to have surgery as most people are but I'm hoping she'll consider this before it's too late. She has a neurosurgeon she's been talking with for two years and he has excellent reviews but he did say the surgery won't help the numbness in her feet. I'm wondering if that's true, though, since it's seems like opening up the space for the nerves would help that numbness go away, even if only by some percentage.
Great breakdown!
I'm fused from C4-7 with ruptured disc at C3-4 that's pushing on my spinal cord. Nearly 10 years since my last ACDF, and scared of 4th cervical surgery.
then I suggest you get a second opinion from Dr. Daniel Riew in New York. Excellent surgeon who specializes in cervical surgery. That's all he does
Interesting ❤
Thanks for the video it was very helpful, do you also do ultrasonic surgery or shed any light on this type of surgery? I will probably need surgery for spinal stenosis, a disk bulge, and arthritis all in my lower 4 and 5
I'm dealing with cervicale stenosis C4/C5/C6 since 2019 and already had multiple infiltrations to relieve the pain, if I decide to get surgery what would be the correct procedure and how long would recovery be
Thx in advance
During an Laminectomy surgery do patients need catheter? And how long after surgery can you walk.
I love this!
Hi dr. What happen to the bone that missing ? It is a spine and if it was removed and scooped out a portion, can the person walk or do anything after that?
Now that the lamina is gone you’re missing that structure for stability so longterm what’s the patients outlook after that?
If someone came to you with stenosis and bastrups would a laminectomy be appropriate?
I found this to be vey helpful
Great!
I had this procedure to remove a neuro fibroma dumbell sheeth tumor. I am still recovering from this procedure. Although, I am yet to find an institution that can provide sustainable life for day to day activities.
Scary stuff, I had cervical laminoplasty with instrumentation
Hey Dr webb, is it possible to work for more than 1 hospital as a consultant hematology in the USA?
After surgery any problem to do regular works like hard work. Only we have to lite work
any chance of a vid on pectus excavatum and the surgeries done for those? (ik its not related to spine but, science)
Hi Doctor Webb quick question, how tall are you?
5’ 11”
6’5
I believe he's like 6'7
Im having this done at the end of April
JUST HAD IT DONE ON THE 17TH BUT AS AN EMERGENCY SURGERY DEFINITELY HAD A GOOD DOCTORS WITH ME THAT DAY SO I HOPE EVERYTHING GOES WELL FOR YOU
What is the recovery time?
I had back surgery in March of 2011. I'm not sure what they called it. They took the disc's out between S1 and L5 and between L5 and L4. Put rods, spacers, screws and bone from my hip in to encase everything.
a spinal fusion a believe is what youre describing. my spine is fused at l5-s1,they removed the disc, used bone from my hip and then theres some hardware keeping it together
I recently had a laminectomy L2-L4. The surgeon assured me before that it would NOT create instability in the back. But I don't see how that promise is possible if he's removing one or more spinous processes - in addition to some of the lamina. This was not explained well.
I just had this done does this mean my back is weaker since my bone is now gone.
I had this surgery at L5 S1 with being appartly invalid in oktober 2023 with success, could do sport after that a few months later...
But now in september 2024 it happend again...my disc poppet again and now we are waiting a few weeks to decide, if i need a suergery again.
I feel trash
But doesnt the tradional laminectomy destabilize the lower spine because of the total bone removal ?
Also , wont more bone, and scar tissue try to regrow in that area causing the process all over again within a short time ?
Don't get me wrong , if you're losing feeling, and strength in your legs you have to do something .... But Pain relief in that area isn't always what is expected.....
I would certainly try ANY non or minimally invasive treatment before cutting bone away !
And wouldnt the spinal cord be less protected in that area ?
Thank you
Dr. Webb, how can I reach you? I’m in San Antonio and tried to schedule an office visit with you. It was made online but your office cancelled it because I don’t have my surgical notes since my surgery was under 3 years. I am in a lot of pain and I really need to be seen by you. Perhaps your office can request my records which is common. I will sign whatever release forms in order for you to see me.
Im sorry that happened. Can you email me this comment with your name and number, ill have my office call today.
why use such a dangerous instrument when there is a safer alternative tool.......that tool is the ultrasonic bone scalple......
Thanks.
You're welcome
Hello sir how are you🎉🎉🎉🎉🎉
Note to self : stick to medium heavy with my squats and deadlifts.... lulz
The drill sounds similar to what a dentist would use.
Plz help I’m 28 and I can’t walk without excruciating pain. I can’t walk i cant sit I can’t exercise. I feel like my pelvis is caving in
I would've worn a mask, with all that plastic/resin dust! Be safe, Doc.
There is no where on planet earth id allow you to touch my body watching how you work. Its a human body not a piece of meat
Have a great day! 😃
you just destroyed your anatomy. you will have problems in the front now. Why don't doctors go with more Laminotomy.
Is this a joke
LOL! The FUNNY thing is that BOTH methods are really good for NOTHING but making MONEY for the surgeon! Don't believe me? Ask them for a money BACK if NOT satisfied guarantee and see what kind of response you get.
Ask any surgeon that and see what the response is
That is not how any of this works😂 why would you get your money back? They can’t unperform a surgery. Always read before you sign, people.
@@Cinnamints1226 Easy, if you're STILL in pain after the surgery, they REFUND your money. Watch how quickly the number of surgeries performed would spiral DOWNWARD.
Its not a cosmetic surgery where u can get a money back..its not for aesthetic purposes.
This is actually for a medical purpose (alleviate pain). Its not to completely remove the pain.
As we grow older, obviously, our bodies would age more and other parts of the spine will be affected.
It doesnt completely cure, it just alleviates :)
Same with chemotherapy. U cant really say 100% youll be cancer free after the therapy and you dont see patient asking for a refund once its done and they have a remission.
You can only get a refund for cosmetic purposes (if stated in the surgery procedure consent paper before u sign it)
@@fragslap5229oh so the room, instruments and all the medications given to u at that time plus the professional fee of nurses and doctors become free? :) thats not how it works.
I dont think anybody would want to operate on you as well. You're a liability.
this looks terrible. Jesus!!
Endoscopic Spinal surgery is the best option
Thank you
Thank you