A discectomy is a surgical procedure performed to remove a portion of a herniated disc in the spine that is causing pain and pressure on nearby nerves. Typically, a discectomy is performed in conjunction with a laminectomy, which involves removing a portion of the lamina, the bony structure that covers the spinal cord. However, it is possible to perform a discectomy without a laminectomy in certain cases.
In cases where the herniated disc is not pressing on the spinal cord or nerves, a surgeon may opt to only remove the protruding portion of the disc during a discectomy. This can help relieve pain and symptoms without the need for a laminectomy, which can increase the risk of spinal instability and other complications.
While a discectomy without a laminectomy may be suitable for some patients, it is important for the surgeon to carefully assess each case to determine the best course of action. Alternative minimally invasive procedures, such as endoscopic discectomy, may also be considered as an option for patients looking to avoid a laminectomy. Ultimately, the goal of any spine surgery is to relieve pain and improve the patient’s quality of life, and the best approach will vary depending on the individual case.
What is the downside of laminectomy?
As with any surgery, the risks of infection, sepsis, and severe bleeding may occur during or after open lumbar laminectomy surgery. It is advised to discuss the expected surgical outcome and the potential complications with the doctor.
Can a laminectomy and discectomy be done at the same time?
The laminectomy surgery may be a part of the microdiscectomy surgery while removal of the herniated disc or be done to increase the space of the canal. During surgery, the surgeon gives an incision at the back at a level determined preoperatively. The muscles and tissues are carefully separated.
Does laminectomy fix herniated disc?
Laminectomy may be done to ease pressure on the spinal nerves, treat a disk problem, or remove a tumor from the spine. One common reason for having a laminectomy is a herniated disk in the spine.
Can discectomy be done without laminectomy?
More commonly, a surgeon will recommend a microdiscectomy without also needing a laminectomy. This is more likely to be the case if the nerve irritation is fairly minor or if only a small portion of protruding disc material needs to be removed.Jun 3, 2022
