What is a Laminotomy? | Spine Surgery Basics
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- Опубліковано 26 вер 2024
- What is a laminotomy?
A lamintomy is often confused with a spinal surgery called a laminectomy. While these procedures are very similar, there are some important distinctions.
In this video, I'll show you:
- the difference between a laminotomy and laminectomy
- the most common diagnosis' that may lead to a laminotomy
- what you should consider before having a laminotomy
Spine surgery is always a last resort, not a first line treatment. Before having a surgical procedure, be sure to consult with all of your healthcare providers.
* this video is not medical advice*
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Jeff Langmaid is a chiropractor, author, and speaker. He is the founder of The Evidence Based Chiropractor, co-founder of The Smart Chiropractor, and author of Marketing Chiropractic to Medical Doctors. His podcast and social media presence have made him one of the most followed chiropractors in the world.
Throughout his career he has been featured on Yahoo Health, MSN Health, CBS News, ABC News, Prevention Magazine, Chiropractic Economics, and more.
The Evidence Based Chiropractor UA-cam channel sits right at the intersection of research and marketing. All to help you grow and develop your practice.
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My brother in law just this AM had his 4th or 5th laminotomy. He has had numerous lumbar surgeries as he had polio as a child and was left wearing a brace on his R leg. He has undergone a spinal fusion as well as laminectomies. This poor guy is in pain all the time! His gait is SO far out of whack, but he refuses to use a wheelchair. I think he's doing more harm than good, but he was raised to be independent and just can't let go of that mind set. This was a great video. You explained things beautifully. TYFS!
my pleasure- thank you for watching. Hope your brother in law is able to find some relief.
Thank you so much for this Video, I used to be a Medical Assistant and before becoming a Medical Assistant I was a Nurse Aide and Medication Aide at Nusing Homes etc, I honestly don't know what happened to my disc issues besides lifting on patients wrong and maybe from my abusive relationship that I am no longer in Thanks to God but back in 2018 I was told nothing could help except surgery and I decided I wasn't going to do surgery because of so many bad reviews on Spinal Fusion but now here in 2022 it has gotten so bad I can barely walk for more than a few minutes before I have to sit down so I am waiting to get an EMG test done and surgery hopefully soon doing I believe a lamenotomy. Please keep in touch with me and I will let you know, I live in Texas, not sure where you are located but thank you for the video and have a Blessed Day.
Thank you!
You teach with such passion and as a trial lawyer, I try to teach the same way-with enthusiasm.
Most of the time a comparison to a lawyer isn't a compliment, but this one is- thank you!
@@Theevidencebasedchiropractor 🤣
Hi @Theevidencebasedchiropractor
Thank you for explaining both the laminectomy vs the laminotomy in layman’s terms where they are easily distinguished from one another. I was recently diagnosed with cervical osteoarthritis in my neck (I had never heard of this as I come from a medical background) and I have been having radiating pain up and down my left arm as well as occasional pain tingling in my fingers sometimes and the pain had gotten to where it is nearly impossible to control. So if the physician recommended treatments do not work I may consider the laminotomy as a last resort.
My pleasure- thank you! Hope you're able to find relief.
Very informative. Thanks so much!
Glad it was helpful!
thank you for the information
what is the indication of laminotomy?
does laminectomy give a better results?
Hello, there are quite a few indications for the recommendation of a laminotomy. Neither one is necessarily "better" than the other. A laminectomy typically has more bone removed than a laminotomy; however, it's a bit of a continuum. Some surgeons may interchangeably use the words and technique based on their training and experience.
Great video! This helped me explain so much. What is the normal recovery process/timeline?
Thank you- alot of recovery depends on pre-surgical conditioning/health!
What would be the advantage of doing a minimally invasive laminectomy instead of a laminotomy for spinal stenosis?
There is another procedure to help with Spinal Stenosis, it's called the MILD Procedure. This is an acronym for Minimal Invasive Lumbar Decompression. I'm sure you have heard of it. What are your thoughts on this procedure. I think they still remove some of the lamina and tissue causing the pinching of the nerves. But I was told it no more invasive than an epidural.
I'm very familiar with that type of procedure after practicing within a minimally invasive surgery practice for many years. My personal opinion is that while minimally invasive surgery is often "better" than more invasive procedures it is still a surgical procedure and comes with nearly all of the risks and issues associated with surgery.
Thank you for the excellent explanation. Is the MILD procedure considered a laminotomy? How much lamina is removed, if any, by the MILD procedure?
Yes, it looks as though the MILD procedure is a minimally invasive laminotomy.
Thanks for the info. What has your experience been with the relatively new MILD Procedure which removes thickened ligamentum flavum?
Great question- my personal experience is that all spine surgery creates alot of the same challenges.
Hi Dr. Thanks for the video - you explained very nicely. I had a laminotomy in South Africa 6 Months ago. I.have made a good recovery, however I do feel different. Still some pain, some tingling, feels like something is almost missing there lol. My question is, am I able to start training again - mainly rowing? All I have done for 6 months is walk 5 km a day as I have been too nervous to row. Thanks you!
Thank you! I'm glad you have found relief. In terms of limitations, I would consult with your local healthcare team. In general, most people are able to get back to most activities by the 6 month marker, but you'll want to check on your individual restrictions with your health team.
Thank you for the advice! I will do that. Have a great day.
I have had a fusion, laminectomy and now a spine stim implanted. Now I have severe stenosis and numbness, Is the lamnotomy a good choice?
I'd recommend following up with your surgeon for the best surgical plans moving forward.
Thank u .
My pleasure- thank you for tuning in!
How long is the recovery for this procedure?
What is the ultimate intervention for bilateral neuro-foraminal narrowing which has not responded to conservative treatment
Can a laminotomy lead to spondylosis?
It "can" but doesn't every time. There are a lot of factors; however, anytime a facet (for example) bears increased load due to changes (tissue removal in the case of a lami), the ipsilateral or contralateral segment will naturally sustain changes due to the biomechanical and structural changes - which can potentially accelerate spondylosis.
Why would a laminotomy be done on a three year old boy? What would be precautions to be take for such a young patient?
The only cases that I can think where a laminectomy/laminotomy would be performed on someone that young would be 1) Acute Trauma or 2) Severe Congenital Defect- but it would still be considered a last option
What is the average age of a male getting his first lamenotomy?
Hard to say- if I had to estimate it would be 45-65 years old.
Does scar tissue fill the voids for the less invasive bone removal option once it’s removed to help provide longterm stability??