Laminectomy

Before surgery, the spine specialist evaluates the patient's symptoms and determines whether laminectomy is the appropriate treatment. The evaluation may include: Physical and neurological examination, MRI or CT scan, X-rays, Blood tests, ECG and anaesthesia fitness assessment. Patients are generally advised to: Follow fasting instructions before surgery, Inform the doctor about medications and allergies, Stop blood-thinning medicines if advised, Arrange support during recovery.

On the day of surgery, the patient receives general anaesthesia. The surgeon makes an incision over the affected part of the spine and removes a portion of the lamina to relieve pressure on the spinal cord or compressed nerves. If necessary, bone spurs or herniated disc material may also be removed during the procedure. After confirming adequate nerve decompression, the incision is closed with sutures or staples. The surgery usually takes 1–3 hours, depending on the number of spinal levels being treated.

After surgery, the patient is monitored until the effects of anaesthesia wear off. Most patients begin walking within 24 hours and are discharged once pain is controlled and mobility improves. Patients are advised to: Walk regularly as recommended, Take prescribed medications, Avoid heavy lifting, bending, and twisting, Attend physiotherapy sessions if advised, Keep the incision clean and dry, Attend follow-up appointments. Seek immediate medical attention if you develop fever, severe pain, wound discharge, increasing weakness, numbness, or loss of bladder or bowel control.