One of the most common spine surgery in the lower back in which the laminae, the bony part of the vertebra that forms the roof of the spinal canal through which the spinal cord runs and spinal nerve roots emanate, are removed in order to relieve pressure being put on the spinal cord or the spinal nerve roots exiting from it.
It is also referred to as Open decompression surgery.
The surgery can be carried out at a single vertebral level or multiple levels depending upon the number of vertebrae affected.
The surgery may or may not be combined with another surgery such as spinal fusion or discectomy.
A1 Laminae (Lamina;Singular) are the bony part of the vertebra that form the roof of the spinal canal and protect the spinal cord and the spinal nerve roots exiting from it. Each vertebra has two laminae and they join to form the roof of the spinal canal.
A2 A long hollow tunnel or cavity formed at the back of the vertebral coloumn when the vertebrae are stacked one above the other. The spinal cord runs through this canal.
A3 Spinal stenosis is a medical condition which is characterized by abnormal narrowing of the spinal canal resulting in the undue pressure on the spinal cord and spinal nerve roots exiting from it. It may occur at any level in the spine. When it happens in the neck area, it is better known as Cervical spinal stenosis. This is rare. If stenosis happens to be in the lower back or lumbar region, it is called Lumbar spinal stenosis. Nearly 75% of the spinal stenosis occur in the lower back or Lumbar vertebra. Spinal stenosis is considered as one of the most common reason for the spine surgery.
A4 The causes of the spinal stenosis can be classified into two main groups:
Acquired causes can be further classified into:
A5 Lumbar laminectomy may be advised by your surgeon in case of spinal stenosis(abnormal narrowing of the spinal canal) in the lower back area. It involves the surgical removal of the whole or part of the laminae(part of the vertebra) to widen the spinal canal and give more space to the spinal cord and the spinal nerve root resulting in the immediate alleviation of the symptoms associated with the compression of the spinal nerve roots and the spinal cord.
If a herniated disc is present, your surgeon may simulteneously perform discectomy to remove the source of the nerve compression right away. Laminectomy may be required in the neck region(cervical laminectomy) or lower back(Lumbar laminectomy) at a single vertebral or multiple vertebral level.
During Lumbar laminectomy, patient is made to lie on his/her stomach or side.A small incision is made over the affected area of the spine. Muscles are retracted back to the side to view the surgical site. Part or whole of the lamina is removed with the help of a bone drill;spinal canal seen and the source of the nerve compression like a herniated disc is removed.
Once done, the incision is closed with stitches.
A6 Either general or spinal anesthesia may be given by your surgeon. Under general anesthesia patient would be asleep at the time of the surgery. Under spinal anesthesia, the patient would be awake during the surgery,however, the area where the surgeon would be working, would be made numb and there would be no sensation in the lower part of your body.
A7 Lumbar Laminectomy usually takes around 1 to 3 hrs.
A8 Anyone who has shown no relief in the symptoms even after 6 weeks of treatment with non surgical modalities such as pain medication, physiotherapy,epidural injection of steroids and an exact cause of the problem is elucidated through investigations such as MRI, then only the surgery can be considered as a viable option.
The final decision whether surgery is the right option for you or not, lies with your team of specialists after evaluating your medical reports and your clinical examination.
Spine surgery at the most affordable cost.
Minimally invasive and endoscopic spine surgery techniques are being carried out to give maximum benefit to the patient such as quick recovery,short or no hospital stay,minimal scar formation which is aesthetically good and early resumption of activities.
Globally trained and highly experienced spine surgeons
High success rate
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Compassionate staff to look after
Hospitals accredited with international organizations such as JCI(Joint commission International) for quality standards.
FDA approved device is used.
Language no barrier. English speaking people and if required, translators are available for your convenience.
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M.B.B.S,M.S(GeneralSurgery), M.Ch (Neurosurgery)
IGASS Spine Fellow Klinikum rechts der Isar Department of Neurosurgery, Technical University of Munich, Germany
Minimally Invasive Spine Surgery, Wooridul Spine Hospital, Seoul, Korea
Consultant – Neurosurgeon, Institute of Neurosciences
Medanta – The Medicity, Gurugram, Delhi-NCR
Best Spine Surgeon in India|Medanta Hospital|Gurugram
Dr Sudhir Dubey
MBBS, M.S, MCh(Neurosurgery)
Fellowship in Endoscopic Skull Base Surgery UPMC, Pittsburgh, USA
Additional Director,Neurosurgery
Institute of Neurosciences
Medanta – The Medicity, Gurugram, Delhi-NCR
Best Spine Surgeon in India|Medanta Hospital|Gurugram
Dr Bipin Swarn Walia
MBBS,MS(General Surgery), M.Ch(Neurosurgery)
Director – Neurosurgery & Head - Unit 1 & Neuro Spine Program
Max Super Speciality Hospital, Saket, Delhi
Best Spine Surgeon in India|Max Hospital|Delhi
Dr (Maj Gen) Prakash Singh
MBBS, MS (Surgery), Mch (Neurosurgery)
Director & Sr. Consultant Neurosurgery
Max Smart Super Specialty Hospital, Saket, New Delhi
Best Spine Surgeon in India|Max Hospital|Delhi
MBBS,MS,MCh(Ortho)
Director Orthopedics Spine Surgery
BLK Orthopedics centre for Orthopedics, Joint reconstruction and Spine Surgery
BLK Super Specialty Hospital, New Delhi
Best Spine Surgeon in India|BLK Hospital|Delhi
MBBS, MS, MCh(Neurosurgery)
Director & Head, Neurosurgery
Venkateshwar Hospital, New Delhi
Best Spine Surgeon in India|Venkateshwar Hospital|Delhi
Dr Soundappan
MBBS, MS (General Surgery), MCh (Neurosurgery)
Senior Consultant, Neurosurgeon
Fortis Malar Hospital, Chennai
Best Spine Surgeon in India|Fortis Malar Hospital|Chennai
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Mr Kwasi (Ghana)
08 Jan , 2017
Spine Surgery
I had been suffering from excruciating low back ache since last few years. Several sessions of physiotherapy, pain medications and frequent visits to the consultant all went futile. I was no longer able to carry out the normal daily activities. I was advised to undergo spine surgery by my doctor. I am glad I found HealthcaretripIndia. They got me comprehensive medical opionion from best spine