Lumbar Laminectomy

No video

Lumbar Laminectomy

Рет қаралды 44,820

Күн бұрын

Dr. Shim explains what is involved with lumbar laminectomy surgery and why a patient may need it.
For more information, please visit www.shimspine....
Citations:
Bydon M, Macki M, Abt NB, Sciubba DM, Wolinsky JP, Witham TF, Gokaslan ZL, Bydon A. Clinical and surgical outcomes after lumbar laminectomy: An analysis of 500 patients. Surg Neurol Int. 2015;6(Suppl 4):S190-3. PubMed PMID: 26005583
Shah M, Kolb B, Yilmaz E, Halalmeh DR, Moisi MD. Comparison of Lumbar Laminectomy Alone, Lumbar Laminectomy and Fusion, Stand-alone Anterior Lumbar Interbody Fusion, and Stand-alone Lateral Lumbar Interbody Fusion for Treatment of Lumbar Spinal Stenosis: A Review of the Literature. Cureus. 2019 Sep 18;11(9):e5691. PubMed PMID: 31720159
Additional Resources:
ejns.springero...

Пікірлер: 30

@PdawgNizzle 11 ай бұрын

I just had this procedure at the end of August. I had a laminectomy on my L3 and a discectomy on L4/L5. My leg tingling, weakness & numbness were gone instantly. However the pain levels after surgery was not what I was expecting. Stick to your prescriptions to relieve this pain.

@pointofpersonalprivilege 11 ай бұрын

Omg, no joke. L4-l5 / l5-s1. Same story as you. I thought my nerve pain was the worse pain I've been in. He11 no, I couldn't move for 6 hours after surgery no matter how much pain juice they shot in my IV. Didn't really need the pills 3 days after at home. I really wanted to finally sht

@unixmo5282 6 ай бұрын

Just got told I need this February 20th. I’m worried because a lot of the comments on other videos say it didn’t fix it. Glad yours did. Everything good today?

@PdawgNizzle 6 ай бұрын

@@unixmo5282 Yes. For the first month I could only pickup clothing. The 2nd month, 10lbs, 3rd month 20lbs and so on up to 50lbs. After that cleared. I found that ice packs & SHORT walks helped a lot. Good luck.

@dalerbsr.5061 3 жыл бұрын

Thanks Dr Shim, your factual descriptions of procedures are so much appreciated. :)

@tlefco 3 жыл бұрын

Great explanation doc! Keep these coming! You should have you own show! :)

@gosman949 2 жыл бұрын

What about the new techniques of endoscopy where only part of the lamina is removed, and more stability is created? Why not discuss this new technique?

@muhtadidakhil1515 2 жыл бұрын

Wonderful video just reduce or remove the music, it’s loud and annoying!!!

@palkaur7376 10 ай бұрын

Beautiful y explained. I am also under gone to this surgery. But operation area is feeling still pain even after one month. Pl suggest something . Thanks.

@jojo1234 3 жыл бұрын

Does a lumbar laminectomy help to restore bladder functions and reduce or end my leg pain? If I sit I’m uncomfortable, to stand from sitting position I’m in excruciating pain! If I want to lay down or sit my leg bones creek inch by inch with excruciating pain. I need help!

@alkalineforlife9033 Жыл бұрын

Dr not guarantee that

@ralphhudson8649 2 жыл бұрын

Does a lumbar laminectomy always require removal of bone from at least two vertebrae?

@monaiannucci9434 Жыл бұрын

Shim boulevard

@iamtheone9242 3 жыл бұрын

What is the risk?

@Tazz45 11 ай бұрын

How do they decide when it needs a fusion or not?

@pointofpersonalprivilege 11 ай бұрын

Your surgeon can decide with MRI. I'm fairly positive it depends on how beat your disc is and how much pain/weakness you have. I was told this. The laminectomy is the 1st operation my surgeon offered me. It can last 2 years, it can last my life. I'm 40, and dealt with back pain for 22 years. The last 3 yrs of pain were messing w my daily life. If the laminectomy fails after a certain time is when fusion is offered and is a whole different ballgame than a basic laminectomy. Failed back surgery becomes a thing with fusion

@Tazz45 11 ай бұрын

Thanks. Same I’m 42 and my job is heavy lifting that messed me up. I’m scheduled for surgery no fusion . So I hope it works.Thanks

@pointofpersonalprivilege 11 ай бұрын

@@Tazz45 After surgery you'll obviously have surgery pain, I wasn't ready for that never having a surgery. It'll hurt for a couple days but you'll notice right away when they decompress that nerve you'll be amazed. Life changing. Stay in shape afterwards you'll be alright. Let me know how you're doing a month after. Good luck 🤜🤛

@Tazz45 11 ай бұрын

@@pointofpersonalprivilege thanks 🙏 I’ll let you know. I hope it takes the discomfort and pain. Thanks again

@Tazz45 10 ай бұрын

@@pointofpersonalprivilege hey hi. I had the surgery everything went well after 3 days the pain of the surgery goes away. The pain I had is gone feel the difference. But now I think I might have to get another surgery because I feel other areas of pain. Most likely cause I had two herniated disc they only did one. Now the area that bothers me is because of the other the hernia is pinching the nerve. But you know doc saying I have to do the protocol therapy in 3 weeks and from there will see.

@LanNguyen-ze9sh 3 жыл бұрын

What questions do you recommend the patients to ask for a follow-up visit on the procedure below: 1. Posterior lumbar decompression via L4 , L5 and S1 laminectomy, facetectomy and foraminotomy. 2. Excision of L4-L5 disk herniated fragment on the right side.

@nero0502 2 жыл бұрын

thats alot of bone you removed does that make youre spine weaker?

@nildadel9795 Жыл бұрын

My friend had and 10 year later he needed a fusion. . 😢 I think laminectkmy creates weaknesses in the spine

@yasminbano4675 3 жыл бұрын

Do they remove spinous process too as shown in ur video or only lamina

@ShimSpineVideos 3 жыл бұрын

Depends on how severe the stenosis and the location. Sometimes, only the hole for the nerve call the foramen is opened. Other times, a wide decompression including removal of the lamina and spinous process is necessary.

@yasminbano4675 3 жыл бұрын

@@ShimSpineVideos thanks for ur response

@nero0502 2 жыл бұрын

@@ShimSpineVideos will youre dr tell you this before operating. What if they said they wont remove it but when it comes to surgery they have to.

@gosman949 2 жыл бұрын

@@ShimSpineVideos with endoscopy surgery, will this not create more stability in the spine?