Posts Tagged laminectomy
Foraminotomy vs Laminectomy vs Discectomy by KBNI Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Seal, Baytown, Pearland, Beaumont, Port Arthur
Posted by admin in baytown, beaumont, cervical laminectomy, cervical stenosis, discectomy, foraminotomy, herniated disc, herniated disc surgery, houston, katy, laminectomy, lumbar laminectomy, spinal stenosis, woodlands on July 15, 2014
foraminotomy, laminectomy, discectomy, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring
Foraminotomy vs Laminectomy vs Discectomy Houston, Woodlands, Katy, Sugarland, Spring
A foraminotomy is a surgical procedure designed to lower pressure within the spinal canal by enlarging the passageway through which a spinal nerve root branches from the spinal canal. A laminectomy is a procedure to remove a greater portion of the bone (lamina) covering the roof of the spinal canal. A discectomy is a procedure to remove a portion of a herniated disc in the spine, which is bulging and pushing on a nerve. Understanding spine anatomy is important to understanding the difference between the different procedures to relieve pain. The sensitive spinal nerve roots are responsible for transmitting signals for voluntary muscle control as well as relaying sensory information for most of the rest of the body. The spinal discs (shock-absorbing pads between our vertebrae) give the spinal nerve roots enough room to exit the spinal canal. Sometimes, however, impact trauma, daily stress on the spinal discs, bone growths, or tumors may create an obstruction for the spinal nerve roots. Patients may experience extreme low back pain and / or decreased mobility if the pathways for the spinal nerve roots are compromised, or if the nerves themselves become compressed due to trauma and disk degeneration. A foraminotomy focuses more on removing a smaller portion of bone where the nerve root leaves the spinal canal. The opening in the spine through which the nerve root leaves is known as the neural foramen, and opening of this area is thus known as a foraminotomy. A laminectomy is a more extensive removal of a greater portion of bone covering the spinal canal. Of note, the neural foramen is an opening created by a roof of the superior articular facet of the vertebral body below, and the inferior articular facet of the vertebral body above. A discectomy is performed by making an opening in the lamina, in order for the spine surgeon to gain access to the disc space, where the herniated or bulging disc is situated, in order to perform a discectomy, free up the nerve root, and alleviate the pain resulting from nerve compression.
foraminotomy, laminectomy, discectomy, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring
There are several different spinal conditions that may prompt a physician to consider a foraminotomy. Degenerative disc disease, a condition in which the natural degeneration of spinal discs is accelerated by other factors, is a possible cause. Herniated (displaced or ruptured) spinal discs, bone spurs, spondylosis / spinal stenosis are all also conditions that may necessitate larger passageways for spinal nerve roots. When there is a more diffuse narrowing of the spinal canal, as is the case with spinal stenosis, a foraminotomy may not be sufficient to decompress the nerves, and a laminectomy may be required. When the source of compression is located centrall within the spinal canal, and is caused by a focal disc bulge or herniation, rather than a diffuse central canal compression, then a discectomy may be a good option. In summary, back surgeries that may be effective for relieving pressure on the spinal nerves are foraminotomies, laminotomies and discectomies, as well as laminectomies.
foraminotomy, laminectomy, discectomy, Houston
Since back surgery is often a costly procedure with a lengthy period of post-operative care, patients are advised to seek thorough medical consultation prior to any procedure that may have implications for the spinal canal. If patients are experiencing muscle weakness, sharp or shooting pains down one or both legs, numbness in the extremities, or if their low back pain is not resolved by core strengthening exercises and weight management, physicians will typically recommend a series of spinal imaging tests. X-rays, magnetic resonance imaging, and CT scans may all be used to determine whether the integrity of the spinal canal is at risk. Post-imaging, physicians will be much better equipped to make an accurate diagnosis and prescribe a course of treatment. Post-operative care will normally include physical therapy that focuses on core strengthening exercise, building the muscles in the torso to assist in managing the stresses of everyday movement.
Physician experts at the Kraus Back and Neck Institute (KBNI) in Houston TX have significant experience at taking care of patients with back problems, back injuries and other sources of back and neck pain, arm and leg pain. They frequently see patients who are suffering from the symptom of neck pain, low back pain, and mid back pain, and have never received imaging studies of the spine. The physicians have expertise on spine surgery including foraminotomy and laminectomy and discectomy. Physicians at the KBNI will order the appropriate spinal imaging studies of the cervical, thoracic or lumbar spine as needed, and review the results with the patient.
The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.
REFERENCE SITES
Patients suffering from neck pain or back pain, or who have been told they may require a spine surgery, can contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to schedule an appointment online
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
Keywords: foraminotomy, laminectomy, discectomy, Houston, Woodlands, Katy, Memorial City, Sugarland, Texas Medical Center, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
Laminectomy, Lumbar Laminectomy, Cervical Laminectomy for Lumbar Stenosis, Cervical Stenosis in Houston, Katy, Woodlands, Sugarland, Beaumont, Texas Medical Center TMC
Posted by admin in back pain, baytown, beaumont, cervical laminectomy, cervical stenosis, chiropractic, chiropractor, fusion, houston, katy, laminectomy, low back pain, lumbar laminectomy, lumbar stenosis, neck pain, pain, physical therapy, spinal injury, spinal stenosis, spine surgery, sugarland, woodlands on June 21, 2014
laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring
A laminectomy is a spinal procedure designed to lower pressure within the spinal canal (spinal stenosis). When it is performed in the low back region for lumbar stenosis, it is known as a lumbar laminectomy, and when in the neck region for cervical stenosis, it is a cervical laminectomy. During a lumbar laminectomy or cervical laminectomy, the back region of the vertebra, called the lamina, is removed to expand the spinal canal and relieve pressure on the spinal cord (cervical stenosis in the cervical spine), or the nerve roots ( lumbar stenosis in the lumbar spine). Spinal discs (the shock-absorbing pads in between the vertebrae) may rupture or otherwise become displaced. This can raise pressure within the spinal canal or even compress the spinal cord, causing extreme pain and possibly a loss of mobility. As the spinal canal houses the spinal nerves that run through the spinal column, any bone growths, spurs, or herniated disks have the potential to compress these spinal nerves or spinal cord, depending on the level of the spine where the compression occurs. Thickened ligament in the spine may also compress the nerves in the lumbar spine, or the spinal cord in the cervical spine, because the spinal cord travels through the cervical spine, but ends at the top of the lumbar spine, below which only the spinal nerves run within the lumbar spine. The ligament which often thickens with aging, is known as the ligamentum flavum. Depending upon where the source of compression of the spinal canal occurs, the surgeon can approach the spine from the front or the back. When the decompression is from the back, to remove the lamina of the spine, the procedure is known as a laminectomy.
laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring
Most commonly, a laminectomy is performed on patients who suffer from spinal stenosis, a condition in which the spinal canal at certain points is narrower than normal. Symptoms vary widely, with some patients reporting extreme pain and a loss of mobility from compressed spinal nerves or spinal cord. In a much less common situation, bladder problems can occur from pressure placed on spinal nerves (lumbar stenosis) in the lumbar spine on the cauda equina nerves traveling to internal organs. Patients with cervical stenosis may experience neck pain, or pain in the upper extremities, or in more severe cases, may experience partial or complete paralysis. When patients with cervical stenosis suffer an injury, they may experience trauma to the cervical spinal cord, resulting in a spinal cord injury. This could result in paralysis below the level of injury of the spinal cord, or another type of cord injury in which the arms are weak, but the legs are strong (known as central cord syndrome). Other patients’ quality of life may be relatively unchanged, although if sufficient pressure is placed on the cervical spinal cord, a posterior cervical laminectomy may be recommended to reduce the chances of further trauma.
laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, West Houston, Sugarland, Woodlands, Katy, Memorial City, Spring
Depending on the extent of the pressure placed on the spinal canal, the surgeon may remove parts of the lamina on both sides of the spinal column, in addition to any fragments of bone or disk that are causing the obstruction. Spinal fusion, a procedure in which vertebrae are fused together to ensure stability, may be necessary depending on the total bone loss sustained during the laminectomy, and any foreseen instability of the spine resulting from extensive bone removal. At times, the degeneration of the spine and overgrowth of bone spurs is so severe, that in order to fully decompress the spinal cord in the neck (cervical stenosis) with a cervical laminectomy, or the spinal nerves in the lumbar spine (lumbar stenosis) with a lumbar laminectomy, part or all of the facet joints (which connect the vertebral body above with the one below) may need to be removed. When this occurs, the spine may become unstable at that segment, and a spinal fusion at that segment may be considered.
laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston
Patients who are experiencing numbness or pain down one or both legs are advised to seek medical attention. Although there are several different possible causes for the compression of spinal nerves, symptoms may not fully indicate the seriousness of the condition. Continued compression can eventually cause permanent loss of sensation, as well as paralysis of the extremities. Paralysis of the legs, from lumbar stenosis, is very uncommon, but in rare situations, can occur, particularly is the lumbar stenosis is sudden and severe in onset, such as a severe and large herniated disc, or a spine injury fracture. Patients who experience numbness or pain down one or both arms are also advised to seek medical attention. If a patient feels a “electric shock” traveling down the spine, known as a Lhernitte sign, the patient may be suffering from spinal cord compression in the neck (cervical spine). In this situation, the patient should definitely make an urgent appointment to see a spine surgeon. Following a cervical laminectomy or lumbar laminectomy, a physical therapy regimen to maintain mobility and strengthen the core will give patients the best chance at restoring stability to their spinal columns. Core strengthening can be accomplished with physical therapy or by chiropractic treatment with a chiropractor.
Expert neurosurgeons at the Kraus Back and Neck Institute (KBNI) in Houston, TX, have significant experience in treating cervical stenosis and lumbar stenosis. At times, they are able to treat patients and improve their symptoms without the need for surgery. When the cervical stenosis or lumbar stenosis is moderate or severe, or the symptoms the patient experiences are unrelenting, a lumbar laminectomy or cervical laminectomy may be performed. The KBNI neurosurgeons utilize minimally invasive spine surgery techniques when appropriate.
The Kraus Back and Neck Institute (KBNI) in Houston TX takes care of patients in Houston and the surrounding areas, including Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center (TMC) and other Texas TX cities including Dallas, Fort Worth, San Antonio and Austin.
Patients suffering from a cervical stenosis or lumbar stenosis, or who have been told they may require a lumbar laminectomy or cervical laminectomy, can
contact the Kraus Back and Neck Institute at
……. 281-713-6296
……. Or visit www.SpineHealth.com to schedule an appointment online
……. KBNI VIDEO on Back and Neck Pain Treatment : Don’t Live in Fear and Pain
Keywords: laminectomy, lumbar laminectomy, cervical laminectomy, lumbar stenosis, cervical stenosis, Houston, Sugarland, Woodlands, Katy, Spring, Sealy, Baytown, Pearland, Beaumont, Galleria, Conroe, Humble, Kingwood, Port Arthur, Galveston, Memorial City, Texas Medical Center, TMC, Texas, TX, Dallas, Fort Worth, San Antonio, Austin
Subscribe to the KBNI RSS Feed
