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Total cost estimate for Laminectomy
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Laminectomy, also known as decompression surgery, is a procedure which involves the removal of the lamina. The lamina is a portion of the vertebral bone, which forms the posterior wall of the spinal cord and encloses it. A laminectomy is usually performed to treat spinal stenosis, a condition which causes a narrowing of the spinal canal or spinal openings which causes pressure on the spinal cord and spinal nerves. Spinal stenosis can be of two types, depending on its location on the spine. They are:-
A laminectomy is needed if the patient is diagnosed with a spinal stenosis. Spinal stenosis presents with the following symptoms :-
Spinal stenosis can be diagnosed in the following manner
For the treatment, general anesthesia is administered to the patient, and therefore the patient is unconscious and would feel no pain. Mechanical ventilation is used during the surgery to aid breathing. Vital signs like heart rate are continuously monitored during the surgery. The surgeon makes an incision on the back over the area that requires surgery. He will then move the muscles and tissue away from the spine in order to get a better view of the spine. The surgeon will then remove the lamina or any bone spurs or ligament that is compressing the nerves. How much of the lamina is removed depends upon the condition of the patient. The incision is then closed using stitches.
As with any major surgery, laminectomy also has a few possible risks and complications as listed below:-
The patient might have to continue pain medications post the surgery. Strenuous activities such as walking or standing for too long, bending, lifting heavy weights etc. should be avoided post surgery for at least two to three months.
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A laminectomy involves removal of the back of the vertebrae and can be performed in the neck, chest, or lower back area depending on the location of the compression over the neural elements.
Bony overgrowths within your spinal canal can narrow the space available in the spinal cord and nerves, which can cause pain, weakness or numbness that can spread down your arms or legs. Laminectomy is usually helpful in relieving these types of radiating symptoms than is at relieving actual back pain.
Laminectomy is suggested if:
Degeneration means gradual damage to the tissue and represents aging of the disc, either appropriate to the normal age of the patient, or may be accelerated due to injury or chronic disease, or other factors like smoking and obesity.
A laminectomy is performed by spine surgeons or surgeons who specialize in doing spine surgeries.
Laminectomy in the lower back is effective for the people who have radicular pain going down their legs. In most of the patients, the symptoms are well resolved, and these people are able to get back to their normal life within 6 to 10 weeks after the surgery.
Laminectomy is generally performed under general anesthesia and also under spinal anesthesia.
Laminectomy is divided into three types namely:
Most of the patients with back surgery can be discharged within 1 to 4 days after the surgery depending on the type of surgery, but patients who undergo complex spine surgeries may need a longer period of hospitalization and recovery.
When the patient has back pain or has a surgery in which enough bone is removed to destabilize the spine, the patient may need a fusion surgery to stabilize the spine.
The approximate cost of laminectomy in hospitals in India would be around INR 2.5 Lakh to INR 4.5 Lakh.
