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LAST UPDATED: 25 Oct, 2022 
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There have been several studies in the past comparing the outcomes of decompressive lumbar laminectomy alone versus laminectomy with added fusion, but the results are conflicting . Since the use of lumbar spine surgery has increased in the past decade, there have also been many new advances and approaches in performing lumbar fusion [2] .
https://www.cureus.com/articles/22031-comparison-of-lumbar-laminectomy-alone-lumbar-laminectomy-and-fusion-stand-alone-anterior-lumbar-interbody-fusion-and-stand-alone-lateral-lumbar-interbody-fusion-for-treatment-of-lumbar-spinal-stenosis-a-review-of-theThe object of this study was to compare outcomes following minimally invasive unilateral laminectomy for bilateral decompression (ULBD) to a standard "open" laminectomy for LSS. Methods: The authors conducted a prospective, 1:1 randomized trial comparing ULBD to open laminectomy for degenerative LSS.
https://pubmed.ncbi.nlm.nih.gov/24878273/What is a laminectomy Facetectomy and Foraminotomy? Lumbar foraminotomy is a decompression surgery involving the removal of bone and tissue obstructing the neuroforamen to release the pressure on the spinal nerve roots. In severe cases, the entire facet joint is removed which is referred to as lumbar facetectomy.
https://findanyanswer.com/what-is-a-laminectomy-facetectomy-and-foraminotomyIn general, here's what to expect: After a minor (decompressive) laminectomy, you are usually able to return to light activity (desk work and light housekeeping) within a few days to a few weeks. If you also had spinal fusion with your laminectomy, your recovery time will likely be longer -- from two to four months.
The recovery time for surgery involving the L4 and L5 vertebrae varies depending on the procedure, states Mayo Clinic. For laminectomy procedures, recovery can take as little as a few weeks. In cases requiring spinal fusion, recovery can take as long as six months.
A laminectomy is a type of back surgery used to relieve compression on the spinal cord. During the procedure, your doctor will remove the lamina. The lamina is part of the bone that forms the vertebral arch in the spine. Your doctor will also remove bone spurs. These structures can put pressure on the spinal cord or nerve roots. This can cause:
For patients not covered by health insurance, a laminectomy, typically used to treat spinal stenosis [ 1] , a narrowing of the spine that occurs mostly in people over 50, typically costs $50,000 to $90,000.
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