Posterior Lumbar Laminectomy : Spine Surgery

Posterior Lumbar Laminectomy helps to break down the nerve roots, and eventually help to lower extremity pain. While operating, the patient is firstly given anesthesia, so that the patient falls asleep, and then patient’s body will be turned to the prone position by use of cushions and gel rolls. After that the lower back will be cleaned, and then the surgeon will do the verticals.

Procedure Risks

Posterior Lumbar Laminectomy is a usually performed operation. The numbers of risks are generally less, but still they need to be kept in mind. These can be briefly explained in two levels.

  • Operative risks, and
  • The risk of anesthesia.

Firstly we’ll discuss the operative risks involved in Posterior Lumbar Laminectomy:

Surgical exposure: As the patient is being operated in prone position, there can be injured by pressure to nerves, eyes. Even muscular injury around spin can occur.

Spinal cord/nerve root damage: Any injury to spinal cord or nerve roots, can cause loss of sensation, stroke, fatigue, damage to bowel, ladder. If spinal fluid leakage occur during the process than the patient would be on complete bed rest even after weeks of operations.

General risks: Bleeding, stroke, coma or deaths are possible, if operation is not performed cautiously. It is also possible that surgery do not relive any improvement for which it had been performed. Thus, additional surgery needs to be performed in future.

Second is the risk of anesthesia

Blood clot, risk of heart attacks, reaction due to blood transfusion, and few other risks are there that can evolve due to anesthesia.

Precautions

Patients of Posterior Lumbar Laminectomy need to avoid certain activities for speedy & safe recovery. No bending or twisting of body.  Lifting of any king of weight is not allowed. Physical therapy is either advised or avoided depends on the condition of the patient. If conditions improves with time several restriction are eased. General hygiene of body & wounded area should be maintained.

The aim of the operation or surgery is to relive the extra pressure on your nerve at the back & helps lower the back pain. A person is healthy again to perform his regular day to day activities. Though acute pain in & around the operated area is quiet usual for several days before complete recovery. Numbness around leg or foot can be felt but that does not impair any movements as such. Following things should always be taken care of by the patients of Posterior Lumbar Laminectomy :

  1. Complete bed rest isn’t recommended, neither can people involve in any athletic activities, specially bending of body.
  2. Avoid lifting any kind of weight.
  3. Avoid sitting in a particular position for more than 45 minutes. Though it’s fine if using a lounge chair & sitting laid back.
  4. You may walk on regular basis, not more than one mile.
  5. Driving should be avoided.
  6. Should avoid any kind of sexual activity.

Patients of Posterior Lumbar Laminectomy should take the dosage as prescribed by the physician. The recovery process may take 6 to 18 months to get back to normal state. Numbness, fleeting pain may be experienced during such time.

Posterior Lumbar Laminectomy : Spine Surgery
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