Laminectomy
What is Laminectomy?
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Why do you need Laminectomy ?
Laminectomy is indicated for:
- Spinal stenosis: Narrowing of the spinal canal, often due to aging, causing nerve or cord compression (symptoms: back pain, leg/arm pain, numbness, weakness).
- Herniated disc: When discectomy alone isn’t sufficient, and additional decompression is needed.
- Tumors or cysts: Compressing the spinal cord or nerves (e.g., schwannomas, metastatic tumors).
- Infections: Spinal epidural abscess causing compression.
- Trauma: Fractures or dislocations narrowing the canal.
- Failed conservative treatment: Persistent symptoms after 6–12 weeks of non-surgical treatment (e.g., physiotherapy, medications, injections).
- Neurological deficits: Progressive weakness, numbness, or bowel/bladder dysfunction (emergency if cauda equina syndrome in lumbar stenosis).
The procedure aims to decompress the spinal cord or nerves, relieve pain, and restore function, sometimes combined with fusion if spinal stability is compromised.
Why Do Laminectomy Costs Vary in Philippines?
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Laminectomy Procedure
- Before Surgery Evaluation:
- Diagnosis:
- MRI or CT scan confirms spinal stenosis, herniated disc, or other pathology causing compression.
- X-rays (flexion/extension views) assess spinal stability.
- Electromyography (EMG) or nerve conduction studies confirm nerve involvement.
- Blood tests ensure fitness for surgery (e.g., coagulation, hemoglobin).
- Medications: Pain relief (e.g., NSAIDs), muscle relaxants, or steroids for inflammation.
- Consent: Risks, including infection or instability, are explained.
- Diagnosis:
- Surgical Techniques:
- Open Laminectomy:
- Performed under general anesthesia, lasting 1–3 hours.
- Lumbar:
- A midline incision (3–8 cm) is made in the lower back.
- Muscles are retracted to expose the lamina.
- The lamina is removed (one or more levels) to decompress the spinal cord or nerves.
- Additional procedures (e.g., discectomy, foraminotomy) may address herniated discs or nerve root compression.
- Cervical:
- A posterior midline incision (5–10 cm) in the neck.
- Lamina removal decompresses the spinal cord (often for multilevel stenosis).
- Fusion may be added if instability is a concern.
- The incision is closed with sutures.
- Minimally Invasive Laminectomy:
- Uses smaller incisions (1–2 cm), a microscope, or endoscope; less muscle disruption.
- Ideal for single-level stenosis, lasting 1–2 hours.
- Laminectomy with Fusion:
- If removing the lamina risks instability (e.g., multilevel surgery, pre-existing spondylolisthesis), fusion is performed using bone grafts, rods, and screws.
- Intraoperative Tools:
- Fluoroscopy: Real-time X-ray confirms the correct level and decompression.
- Neuromonitoring: Tracks nerve function to avoid injury.
- Open Laminectomy:
- After Surgery:
- Ward monitoring for 1–3 days; hospital stay of 2–5 days (longer with fusion).
- Pain management: Analgesics (e.g., paracetamol, tramadol) for 1–2 weeks.
- Antibiotics (e.g., cefazolin) for 1–2 days to prevent infection.
- Physical therapy: Starts within 1–2 weeks to improve mobility and strength.
- Cervical collar (if cervical): Worn for 2–4 weeks if fusion is performed.
Recovery After Laminectomy
- Hospital Stay: 2–5 days; longer (5–7 days) with fusion or complications.
- Post-Surgery Care:
- Pain: Incision discomfort for 1–2 weeks; nerve pain (e.g., sciatica) improves over weeks.
- Activity: Light walking on day 1–2; avoid bending, twisting, or lifting (>5 kg) for 6–8 weeks.
- Lumbar: No brace typically needed unless fusion; maintain good posture.
- Cervical: Collar for 2–4 weeks if fusion; avoid neck strain.
- Physical therapy: Starts at 1–2 weeks; focuses on core strength (lumbar) or neck mobility (cervical).
- Driving: Avoid for 2–4 weeks until pain-free and off narcotics.
- Diet: Normal diet; high-protein foods (e.g., eggs, lentils) support healing; 2–3 liters water daily.
- Follow-Up:
- Visits at 2 weeks, 6 weeks, and 3 months; X-rays (if fusion) to monitor stability.
- MRI/CT if symptoms persist or recur.
Most resume normal activities in 6–8 weeks (laminectomy alone) or 8–12 weeks (with fusion). Symptom relief occurs in 70–85% of patients; success rates for decompression are 80–90%.
Risks and Complications
- Surgical Risks: Bleeding (1–3%), infection (1–3%), CSF leak (1–3% from dural tear).
- Neurological Complications:
- Nerve/spinal cord injury (1–2%): Temporary or permanent numbness/weakness.
- Persistent symptoms (10–20%): If irreversible nerve damage or incomplete decompression.
- Spinal Stability:
- Post-laminectomy syndrome (5–10%): Chronic pain from scar tissue or instability.
- Spondylolisthesis (2–5%): Vertebral slippage if stability is compromised (may require fusion later).
- General Risks: Anesthesia reactions, blood clots (DVT, 1–2%).
- Long-Term: Adjacent segment degeneration (5–10% over 10 years), chronic pain.
Report fever, severe pain, or neurological changes promptly.
Frequently Asked Questions (FAQs)
What causes spinal stenosis?
Aging (e.g., arthritis, disc degeneration), herniated discs, thickened ligaments, or trauma/tumors.
Can spinal stenosis be treated without surgery?
Yes, 60–70% improve with physiotherapy, medications, or injections; surgery is for severe cases or neurological deficits.
Will I lose spinal mobility?
Minimal impact with laminectomy alone; fusion reduces motion at the operated level (10–20% overall loss).
How soon can I resume activities?
Light activities in 1–2 weeks, normal routines in 6–12 weeks.
Is laminectomy covered by insurance in India?
Yes, for symptomatic stenosis or neurological deficits; confirm with your provider.
Signs of complications?
Fever, severe pain, new numbness/weakness, or bowel/bladder issues.
Can stenosis recur after laminectomy?
Yes, 5–10% risk at the same or adjacent levels due to ongoing degeneration.
Lifestyle changes post-surgery?
Avoid heavy lifting for 6–8 weeks, maintain proper posture, continue physiotherapy, and follow up regularly.
Conclusion
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Looking for Best Hospitals for Laminectomy
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
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Angeles City |
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Antipolo |
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Bacolod |
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Bacoor |
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Baguio |
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Butuan |
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Cagayan de Oro |
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Caloocan |
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Cebu City |
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Dasmariñas |
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Davao City |
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General Santos |
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General Trias |
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Iligan |
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Iloilo City |
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Las Piñas |
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Makati |
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Malolos |
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Manila |
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Muntinlupa |
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Parañaque |
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Pasay |
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Pasig |
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Puerto Princesa |
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Quezon City |
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San Fernando |
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San Jose del Monte |
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Taguig |
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Valenzuela |
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Zamboanga City |
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Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.