LUMBAR LAMINECTOMY
Lumbar Laminectomy is a surgical procedure used to treat leg pain. The purpose of the procedure is to relieve the pressure on the spinal cord and/or nerve by enlarging the space. This is completed by removing the bony posterior vertebral element, which is known as the lamina. Essentially, it involves “unroofing” the spinal canal.
The procedure involves a midline incision in the back through which the spine can be accessed. Once the bone is removed the incision is closed with absorbable sutures. Average length of surgery is 1.5 hours.
Pre-operative testing and preparations:
Prior to your surgery date, you will be required to undergo routine laboratory tests, EKG and a chest x-ray. If you are over 50 years of age or have any history of cardiac or pulmonary problems, you will also be required to have a clearance by a cardiologist or pulmonologist, respectively. You will also be given information on what medications, both prescription and over the counter, that need to be discontinued pre-operatively as many can interfere with wound healing and bleeding time.
What to expect in the hospital post-operatively:
You will wake up in the recovery room after the operation is over. During this time you may be disoriented and tired, which is the normal effects of the anesthesia wearing off. Once stable, you will be taken to your room where you may be greeted by friends and family. Your incision will be covered by a sterile dressing which will stay in place for 2 to 3 days.
It is important to begin moving as soon as possible to prevent blood clots and speed your recovery. You will be visited by a physical therapist while in the hospital that will assist you with walking. It is important to use your brace while out of bed.
Getting out of bed is also a very important step in helping your lung function return to normal. Areas of your lungs collapse during surgery and a couple of days post-operatively, which is known as “atelectasis”. Additionally, deep inspirations and the use of your “incentive spirometer” are essential.
Patients typically stay in the hospital overnight. Before your discharge, you will be provided with a list of “do’s and don’ts” and arrangements will be made for home health if necessary.
Once you arrive home:
Continue to walk and slowly increase your activity level.
Wear your brace while you are out of bed.
You may shower, but do not soak in the bath or hot tub for 4 to 6 weeks.
Maintain a healthy diet, especially one that is high in dietary fiber to decrease constipation. Additionally, a diet rich in protein is ideal for the healing process. Drink plenty of fluids.
Monitor your incision. It is common to have a small amount of blood and fluid leakage, however, if there is persistent drainage contact the office. Additionally, watch for opening of the incision, redness or warmth around the incision, or fever greater than 101ºF.
No driving for 3 to 4 weeks or until advised.
No lifting greater than 10 pounds for 4 to 6 weeks.
Avoid any bending and twisting at the waist.
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