There are different procedures for lumbar spinal stenosis versus stenosis of the neck. If you are undergoing decompressive laminectomy, you can expect a small incision where portions of your bone will be removed.
This allows for pressure relief on your spinal nerves. In a situation where your spine needs further support, your spine doctor might recommend a spinal fusion. An anterior cervical discectomy typically requires your surgeon to fuse your spine to get the best results. Each case requires specialized diagnosis and treatment plans. At NSPC our award-winning team of neurosurgeons is experienced in solving the challenges of neck and back pain. What kind of restrictions can you expect post surgery?
Spinal fusion is usually needed when a great deal of bone needs to be removed and involves grafting new bone from another part of your body usually your pelvis into the spine to offer greater stability. A standard lumbar laminectomy usually takes in the region of four to six hours, depending on the complexity of your case.
You can expect to stay in hospital for between one and three nights while the initial healing period occurs. You will almost certainly be in considerable discomfort and will be provided with a pump to deliver pain relief directly into your system every few hours.
Your care team will be keen to get you moving around as soon as possible after your surgery as inactivity can increase the risk of complications such as a blood clot. If you have non-dissolvable sutures, you will be given an appointment to return to get these removed before you go home. In the meantime, you will be given specific instructions to follow regarding your post-operative care. A complete recovery from a lumbar laminectomy can take between four and six weeks, possibly longer if your job involves heavy lifting or long periods of time spent driving.
Your surgeon will be able to give you a more specific recommendation for your return to work. If you would like further information regarding a lumbar laminectomy, please do not hesitate to contact our friendly, knowledgeable team.
If a herniated disc is causing compression the surgeon will perform a discectomy. Step 6: fusion if necessary If you have spinal instability or have laminectomies to multiple vertebrae, a fusion may be performed.
Fusion is the joining of two vertebrae with a bone graft held together with hardware such as plates, rods, hooks, pedicle screws, or cages. The goal of the bone graft is to join the vertebrae above and below to form one solid piece of bone. There are several ways to create a fusion. The most common type of fusion is called the posterolateral fusion. The topmost layer of bone on the transverse processes is removed with a drill to create a bed for the bone graft to grow. Bone graft, taken from the top of your hip, is placed along the posterolateral bed.
The surgeon may reinforce the fusion with metal rods and screws inserted into the vertebrae. The back muscles are laid over the bone graft to hold it in place. Step 7: closure The muscle and skin incisions are sewn together with sutures or staples. You will awaken in the postoperative recovery area. Your blood pressure, heart rate, and respiration will be monitored, and yourpain will be addressed. Once awake you will be moved to a regular room where you'll increase your activity level sitting in a chair, walking.
If you've had a fusion, a brace may need to be worn. In 1 to 2 days you'll be released from the hospital and given discharge instructions.
Be sure to have someone at home to help you for the first 24 to 48 hours. Follow the surgeon's home care instructions for 2 weeks after surgery or until your follow-up appointment. In general, you can expect:. Symptoms may return after a few years. Endoscopic laminotomy results in less blood loss, shorter hospital stay, and less postoperative pain medication than an open laminotomy.
The results of the surgery are largely up to you. It is important to keep a positive attitude and diligently perform your physical therapy exercises. Maintaining a weight that is appropriate for your height can significantly reduce pain. Do not expect your back to be as good as new. No surgery is without risks. General complications of any surgery include bleeding, infection, blood clots, and reactions to anesthesia. If spinal fusion is done at the same time as a laminectomy, there is greater risk of complications.
The following are risks that should be considered:. Nerve damage or persistent pain. Measure ad performance. Select basic ads. Create a personalised ads profile. Select personalised ads. Apply market research to generate audience insights. Measure content performance. Develop and improve products. List of Partners vendors. Spinal stenosis surgery is considered for symptom management after conservative measures have resulted in little improvement in spinal stenosis symptoms.
The operation will be decided upon by you and your healthcare provider if you are an appropriate candidate for spinal stenosis surgery and scheduled at a hospital several weeks in advance. Make sure to arrive early several hours before the time of your scheduled surgery to give yourself time to navigate the hospital and fill out all necessary paperwork.
On the day of your spinal stenosis surgery, you will be taken to a pre-operative room where you will be asked to change into a gown.
You will undergo a brief physical examination and answer questions about your medical history from the surgical team. You will lay down on a hospital bed and a nurse will place an IV in your arm or hand for delivering fluids and medications. The surgical team will use the hospital bed to transport you in and out of the operating room.
You will be taken into the operating room equipped with an operating table and several screens, monitors, and medical technology for assessing your status before, during, and after the operation. The surgical team will assist you onto the operating table and you will be given anesthesia medication to put you to sleep for the surgery. Once sedated under anesthesia, you will be intubated with an endotracheal tube that will be connected to a ventilator to assist you with breathing during the surgery.
You will already be sedated and asleep before this part of the procedure and will not feel anything. The surgical team will sterilize the skin around the area of your back where an incision will be made. An antiseptic solution will be used to kill bacteria and prevent the risk of infection. Once sanitized, your body will be covered with sterilized linens to keep the surgical site clean.
There are several different techniques that can be used for surgical management of spinal stenosis depending on what the root cause of the issue is.
Spinal stenosis surgery may include one or more of the following:. It is possible that the surgeon may not know the full extent of surgical work to be performed until the operation is started.
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