Some Pains Are Not Normal.

Case of the Week: Department of Neurosurgery

Lumbar Spine Laminectomy

What is Lumbar Spine Laminectomy?

Lumbar laminectomy is a surgical procedure performed to treat the symptoms of central spinal stenosis or narrowing of the spinal canal. The surgery involves the removal of all or part of the lamina to provide more space for the compressed spinal cord and/or nerve roots. Lumbar spine Laminectomy and Lumbar Discectomy, a type of surgery to fix a disc in the lower back using incisions, is generally performed on a patient along with fixation of pedicle screw rods and interbody ease. The patient is relieved of the pain and mobilized the very next day of the surgery.

Typically considered after non-surgical treatments such as physical therapies, medications, and/or epidural steroid injections that have been tried on a patient for a period of 8 to 12 weeks without improvement, Lumbar laminectomy aims to accomplish the following goals.

1. RELIEVE NEURAL TISSUE COMPRESSION
   Stenosis that takes place in a spine’s lumbar region may end up causing compression of various tissues such as the thecal sac, cauda equina or spinal dura. This leads to extreme pain in the leg while walking or while bending the spine backwards. A laminectomy relieves the compression of these neural tissues by creating a widening in the spinal canal.
   
   
2. IMPROVES LEG FUNCTION
   Lumbar stenosis often leads to decreased mobility because of weakness and pain that overpowers one or both the legs. A laminectomy reduces the pressure on the nerves resulting in reduced leg pain and potentially improving a person’s weakness and functionality.
   

An Interesting Case of Lumbar Spine Laminectomy at Aadicura Superspeciality Hospital.

A 40-year-old male patient complained of severe lower back pain which radiated to his right lower limb along with Paraesthesia, an abnormal sensation, typically tingling or pricking (pins and needles), caused chiefly by pressure on or damage to the peripheral nerves. The patient was referred to Aadicura Superspeciality Hospital with an inability to lie straight on the bed nor perform any other kind of motion. He underwent a CT angiography and MRI for a better diagnosis of the problem.

The CT angiography suggested incomplete occlusion in the SMA (super mesenteric artery) and chronic occlusion in bilateral lower limb arteries. The result of the MRI of the lumbar spine suggested the right extraforaminal L-45 disc was affected with Canal Stenosis and L5-S1 with Listhesis.

How was he treated?

Lumbar spine Laminectomy and Lumbar Discectomy, a type of surgery to fix a disc in the lower back using incisions, was performed on the patient along with fixation of pedicle screw rods and interbody ease. The patient was relieved of the pain and mobilized the very next day of the surgery.

LOOKING FOR A TREATMENT?

Severe lower back pain can prove to be dangerous. Dr. Sandip Mavani, Neurosurgeon & Endovascular Neurosurgeon and Dr. Ashish Desai, Brain & Spine Surgeon from the department of Neurosurgery at Aadicura Superspeciality Hospital treat and provide you with the best possible outcomes that help you recover faster.

SAFEGUARDING YOUR LIFE’S MOST BEAUTIFUL MEMORIES.

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