Laminectomy

Laminectomy

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Minimum Cost
1,40,000
Average Cost
2,50,000
Maximum Cost
3,70,000
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What is Laminectomy Surgery?

Laminectomy surgery is a medical procedure where the vertebral bone called the lamina is removed. This bone is located at the back of the spine and covers the spinal cord. Laminectomy surgery is mainly done to relieve pressure from the nerve roots or the spinal cord by making more space in the spinal canal. Laminectomy surgery is most commonly performed to treat spinal stenosis, a meidcal condition where the spinal canal narrows and exerts pressure on the spinal cord or nerve roots. This can cause pain, numbness, or weakness in the arms or legs.

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Types of Laminectomy Procedure

There are several types of laminectomy procedures that can be done as per the location and severity of the spinal stenosis.
  • Traditional Laminectomy:

    An incision is made in the back and removes the entire lamina. This creates more space in the spinal canal and reduces pressure on the spinal cord or the nerve roots.

  • Microdiscectomy:

    This procedure is similar to a traditional laminectomy, but it is performed using a smaller incision and specialized instruments. The surgeon removes only the part of the lamina pressing on the spinal cord or nerve roots.

  • Endoscopic Laminectomy:

    This procedure is performed using a small camera and specialized instruments that are inserted through a small incision in the back. The surgeon removes the lamina using the camera to guide the instruments.

  • Laser Laminectomy:

    This procedure uses a laser to remove the lamina. The laser is guided by a camera that is inserted through a small incision in the back.

  • Interspinous Process Decompression (IPD):

    In this procedure, a small device is inserted between the spinous processes (the bony projections present on the back of the vertebrae). This device creates more space in the spinal canal and lowers pressure on the spinal cord or nerve roots.

  • Minimally Invasive Laminectomy:

    This procedure is performed using specialized instruments and techniques that allow the surgeon to remove the lamina through a small incision in the back. This reduces the amount of damage to the surrounding tissue and can result in a faster recovery time. Laminectomy surgery is an effective treatment for spinal stenosis and other conditions that cause pressure on the spinal cord or nerve roots. There are several types of laminectomy procedures that can be performed, basis the location and severity of the spinal stenosis. Your doctor can help you determine which type of laminectomy surgery is right for you.

  • When is Laminectomy Operation Required?

    Laminectomy, also known as decompression surgery, is a surgical procedure performed to relieve pressure on the spinal cord or the nerve roots in the spinal canal. This pressure can be caused by various conditions, including:
  • Herniated disc

  • Bone spurs

  • Spinal stenosis

  • Spinal tumors

  • Infections or abscesses

  • If left untreated, these conditions can cause a range of symptoms, such as severe back pain, numbness or tingling in the legs/arms, weakness, and difficulty walking or standing for prolonged periods of time.

  • How to Prepare for Laminectomy Surgery?

    Before undergoing laminectomy surgery, it is important to prepare yourself both physically and mentally. Here are some steps you can take to ensure a successful procedure:
  • Discuss your medical history and any medications you are taking with your surgeon. It is important to inform them of any allergies, past surgeries, and chronic conditions.

  • Quit smoking and avoid alcohol consumption for at least two weeks before and after surgery, as these can interfere with the healing process.

  • A healthy diet and exercise schedule should be followed to improve your overall health and lower the chances of developing complications.

  • Arrange for someone who can take you home after surgery, as you will not be able to drive for a few days and may require assistance with daily activities.

  • Prepare your home for a comfortable recovery by setting up a comfortable sleeping area, stocking up on necessary supplies, and arranging for any necessary assistance. It is important to follow all pre-operative instructions given by your surgeon to ensure a safe and successful surgery.

  • What Happens Before Laminectomy Surgery?

  • Consultation with a doctor:

    Before undergoing a laminectomy surgery, the patient should talk to a doctor. The doctor will check the patient's history, do a physical examination, and may conduct some diagnostic tests to identify the extent of spinal cord compression.

  • Pre-operative preparation:

    Once the doctor has determined the need for surgery, the patient will be given instructions on surgery preparation. This may include avoiding all sort of food and drink for some time before the surgery, stopping some medicines, and arranging for transportation to and from the hospital.

  • Anesthesia:

    Laminectomy surgery is performed under general anesthesia. The anesthesiologist will explain which type of anesthesia to be used and will monitor the patient's vital signs throughout the surgery.

  • Marking the surgical site:

    The surgeon will mark the surgical site on the patient's back before the surgery. This ensures that the correct area of the spine is operated on.

  • What Happens During Laminectomy Operation?

  • Incision:

    The surgeon will make a cut in the patient's back, usually over the affected area of the spine. The incision size will depend on the extent of the surgery.

  • Removal of bone and tissue:

    The surgeon will remove a small part of the bone and tissue that is compressing the spinal cord or the nerve roots. This allows more space for the nerves to pass through and reduces the pressure on them.

  • Closing the incision:

    Once the bone and tissue have been removed, the surgeon will then close the incision with sutures or staples. A dressing will be done on the incision site.

  • Recovery:

    After the surgery, the patient is taken to a recovery room for close observation as they wake up from the anesthesia. Pain medication will be administered as needed. The patient may need to stay in the hospital for a few days depending on the extent of the surgery.

  • Physical therapy:

    Once the patient is discharged from the hospital, they may need physical therapy to help them regain strength and mobility. The physical therapist will create a tailor-made exercise program for the patient.

  • Methods/Techniques Used for Performing Laminectomy Procedure:

  • General anesthesia is given to the patient before the surgery.

  • The patient is positioned on the operating table in a prone position, with a cushion under the abdomen to relieve pressure on the lower back.

  • The surgeon makes an incision down the middle of the patient's back over the affected vertebrae.

  • The muscles and tissues are moved aside to expose the affected vertebrae and spinal cord.

  • The lamina, a flat piece of bone covering the spinal canal, is removed to provide access to the spinal cord.

  • Any bone spurs or other bony growths pressing on the spinal cord are removed.

  • Any herniated or bulging discs that are pressing on the spinal cord are removed.

  • The muscles and tissues are repositioned, and the incision is closed with sutures or staples.

  • Post Procedure Details:

  • The patient is monitored in the recovery room for a few hours to ensure that there are no complications.

  • Pain medication is given to the patient to manage the pain after the surgery.

  • The patient is encouraged to start walking as soon as possible so that blood clots do not form.

  • The patient may need to wear a brace or support to stabilize the back for a few weeks after the surgery.

  • The patient may need to attend physical therapy to help regain strength and mobility in the back.

  • Risks And Complications Associated with Laminectomy Surgery:

  • Bleeding:

    There is a risk of bleeding during the surgery, which can lead to complications.

  • Infection:

    There is a risk of developing infection at the incision site or in the spinal canal.

  • Nerve damage:

    This could occur during the surgery, leading to weakness, numbness, or paralysis.

  • Spinal fluid leak:

    There is a risk of spinal fluid leaking from the incision site, which can lead to headaches and other complications.

  • Recurrent pain:

    There is a risk that the surgery may not completely relieve the pain, and the patient may require further treatment.

  • Bowen Syndrome:

    There is a rare complication that can occur after laminectomy surgery called Bowen Syndrome, which is characterized by scarring and thickening of the skin over the surgical site.

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    DisclaimerThe cost of laminectomy depends on the following factors: the city, the hospital that is selected, the complexity of the procedure and the room chosen by the patient. The price range mentioned here is an approximation of the surgery cost; Bajaj Finserv Health does not claim that these prices are an exact estimate. For exact information about surgery charges, it is best inquire at the selected hospital.