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Laminotomy

Microdiscectomy
Microdiscectomy
January 29, 2019
LASIK
Lasik
January 29, 2019

Laminotomy

Overview

Laminotomy is a type of spinal decompression surgery that is performed on the lamina of the spine. It involves removal of a part of lamina so that a hole is carved to relieve pressure from a part of the spine.


What is lamina?

Human spine consists of several vertebra that are arranged one above the other with cushiony discs in between them. This allows free movement of spine. On the back side of each vertebra, there is a small bone, called the lamina. It is a bony part of the spine that acts a protective covering at the back of the spinal canal and forms the back wall of the spinal canal. It is often called the “roof” of the spine.


Why is laminotomy performed?

Laminotomy is performed in some spine conditions that cause the lamina to compress one of the nerves in the spinal cord. This compression of nerve causes severe, constant, localized and shooting pain in the corresponding region like neck, leg or arm. The spine disorders that compress the nerves in the spinal cord include:

  • Spinal stenosis
  • Herniated discs
  • Bone spurs
  • Arthritis of spine (spondylosis or spinal osteoarthritis)
  • Pinched nerve
  • Bulging disc
  • Sciatica
  • Degenerative disc disease
  • Other obstructive spine conditions

Laminotomy is a type of decompression surgery that will relieve the pressure from the spine and give immense relief to the patient with following symptoms:

  • Chronic neck or back pain
  • Weakness in arm or leg
  • Numbness or tingling sensation in body parts especially limbs
  • Pain or stiffness in the lower back when standing or walking for too long
  • Inability to balance body while walking or standing
  • Difficultly with everyday activities, such as sitting, walking etc.

Laminotomy procedure

Laminotomy is a small procedure that can be done as an open procedure or by laparoscopic technique. In open procedure a somewhat large incision is required while in laparoscopic technique, small incisions are required.

The procedure is performed under general anesthesia using a posterior approach i.e. the patient lies with face down during the procedure.

In the open procedure, surgeon makes an incision near the affected area of the spine. A retractor is used to move the skin, fat, and muscles apart so that the spine can be accessed. Now very cautiously, surgeon removes the part of the lamina while avoiding any damage to the nerves or the spinal cord. Along with removal of the part of lamina, surgeon may also remove other causes of nerve compression like herniated disc, or bone spurs etc. If required, other procedures like foraminotomy, discectomy or spinal fusion may also be done to fix as much spinal abnormalities as possible, before closing the incision area.

Laminotomy can also be performed by minimally invasive technique (laparoscopic technique) known as microlaminotomy. This procedure involves insertion of a tube through a very small incision and gently guiding it through and between the spinal muscles. After this some more larger tubes are gradually inserted to open the surgical site. This enables the surgeon to view the spine using an endoscope. Now the affected part of the lamina is removed through tubular retractor along with the help of small instruments that are designed for tubular endoscopic spine surgery.

In the open procedure, surgeon makes an incision near the affected area of the spine. A retractor is used to move the skin, fat, and muscles apart so that the spine can be accessed. Now very cautiously, surgeon removes the part of the lamina while avoiding any damage to the nerves or the spinal cord. Along with removal of the part of lamina, surgeon may also remove other causes of nerve compression like herniated disc, or bone spurs etc. If required, other procedures like foraminotomy, discectomy or spinal fusion may also be done to fix as much spinal abnormalities as possible, before closing the incision area.

Laminotomy can also be performed by minimally invasive technique (laparoscopic technique) known as microlaminotomy. This procedure involves insertion of a tube through a very small incision and gently guiding it through and between the spinal muscles. After this some more larger tubes are gradually inserted to open the surgical site. This enables the surgeon to view the spine using an endoscope. Now the affected part of the lamina is removed through tubular retractor along with the help of small instruments that are designed for tubular endoscopic spine surgery.


Advantages of microlaminotomy

As microlaminotomy is a less invasive procedure as compared to open surgery, it has following advantages:

  • Outpatient procedure with no night stay required in hospital
  • Smaller incisions are required
  • Less cutting/trauma to the muscles and tissues
  • Less pain and blood loss
  • Quicker recovery time

Can every patient choose the less invasive microlaminotomy?

No. The eligibility of the patient for microlaminotomy depends upon various factors including his general health and the extent of surgery required. Also, in many cases laminotomy may be accompanied by another procedure like foraminotomy, discectomy or spinal fusion increasing the chances of microlaminotomy to be converted into open surgery at the time of surgery. So, your doctor is the best person to evaluate the possibility of microlaminotomy after assessing your condition and extent of surgery required.


Post-operative care

  • Patient is shifted to the post-operative room soon after the surgery for few hours to monitor any abnormal signs and symptoms.
  • Soon after the surgery, patient is given medications for pain relief and antibiotics to prevent infection.
  • Ambulation is encouraged as soon as possible after the surgery.
  • Patient is discharged mostly on the same day and very rarely a night stay is required at the hospital.
  • Patient is advised to avoid heavy weight lifting and other strenuous activities for first few days.
  • Patient should also avoid pushing or pulling activities.
  • Patient should use support while going up or coming down of stairs.
  • Patient is advised to avoid bending or twisting at the waist.
  • A brief walk for 10 minutes is must after sitting for more than 45 minutes to one hour at a time.
  • Patient should try to walk daily for few steps and gradually increase the number of steps or distance covered.
  • Do not drive for the first two weeks.
  • Frequent medical check-ups to monitor the health of the patient are advised for first 6 months after surgery.

Results of Laminotomy                                                                                

Most of the patients feel immense decrease in their back or neck pain after laminotomy. The stiffness and discomfort of surgery also decreases with time and patient feel much more comfortable after recovery. Patients with sitting job can resume work as soon as they feel able to sit and stand, while heavy manual employment is restricted for almost 6 months. Slowly other activities are also introduced, and patient can get back to usual lifestyle within 6 months after the surgery.


Why MedTours Global?

  • We are associated with the best hospitals globally having the emergency infrastructure, fully equipped with the latest technologies and techniques to overcome from every emergency condition.
  • Our team of doctors are highly experienced in ‘Emergency Patient Management’ and work together to save the patient.
  • Consultation from doctors through e-mail, phone, and video calling.
  • Rehabilitation programs are organized to assist complex surgery patients.
  • Complete support and assistance being given before and after treatment.
  • Cost of treatment is quite less as compared to other service providers.
  • We are always ready to offer our helping hand and our services are available Free of Cost 24/7.

Treatment Estimate

$5,500.00

Disclamer:

Treatment cost mentioned is tentative and can change depending on your medical condition / examination and duration of stay required in the hospital.

$6,560.00

Disclamer:

Treatment cost mentioned is tentative and can change depending on your medical condition / examination and duration of stay required in the hospital.

$6,998.00

Disclamer:

Treatment cost mentioned is tentative and can change depending on your medical condition / examination and duration of stay required in the hospital.

$6,323.00

Disclamer:

Treatment cost mentioned is tentative and can change depending on your medical condition / examination and duration of stay required in the hospital.

$6,987.00

Disclamer:

Treatment cost mentioned is tentative and can change depending on your medical condition / examination and duration of stay required in the hospital.

$8,552.00

Disclamer:

Treatment cost mentioned is tentative and can change depending on your medical condition / examination and duration of stay required in the hospital.

$7,600.00

Disclamer:

Treatment cost mentioned is tentative and can change depending on your medical condition / examination and duration of stay required in the hospital.

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MedTours Global
MedTours Global
MedTours Global is a medical travel facilitation company which provide services to International medical travellers.