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LAST UPDATED: 24 Oct, 2022 
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A laminotomy can relieve pressure in your spinal canal and on spinal nerves. The word laminotomy is often used interchangeably with laminectomy. However, laminotomy surgery removes only a small part of the lamina, while laminectomy removes most of the lamina. Laminotomy is a common but major surgery with serious risks and potential complications.
https://www.healthgrades.com/right-care/spine-surgery/laminotomyCPT 63042 ( Laminotomy (hemilaminectomy), with decompression of nerve root (s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar ) is used when the diagnosis is recurrent herniated disc and a re-do discectomy is performed outside the post-operative global period
https://www.karenzupko.com/63042-neuro/Study design: The development of degenerative spondylosis after successful operative decompression of the affected nerve root was prospectively evaluated in a comparative case series of 100 patients with a herniated lumbar nucleus pulposus. Objectives: The objective of this study was to compare the relative incidence of degenerative spondyloarthrosis after ...
https://pubmed.ncbi.nlm.nih.gov/7604330/Laminotomy (hemilaminectomy), with decompression of nerve root (s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar (list separately in addition to code for primary procedure)
https://www.beckersspine.com/spine/item/53023-cms-returns-14-spine-codes-to-inpatient-only-list-in-2022.htmlA traditional laminotomy is a decompressive surgical procedure that relieves pressure on the nerves and gives them more space in the spinal column by removing part of the lamina, the bony arch of the vertebra that protect the spinal cord, as well as ...
https://spineina.com/treatments/endoscopic-spine-procedure-overview/endoscopic-laminotomy/Other potential complications are nerve root damage, which can lead to nerve injury or paraplegia, and a significant amount of blood loss that will lead to blood transfusions. Laminotomy versus laminectomy. Historically, laminectomies have been the primary way to treat lumbar spinal stenosis.
https://en.wikipedia.org/wiki/LaminotomyLaminectomy is surgery that creates space by removing the lamina — the back part of a vertebra that covers your spinal canal. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves.
After a diskectomy or foraminotomy, you may still feel pain, numbness, or weakness along the path of the nerve that was under pressure. These symptoms should get better in a few weeks. Recovery after laminectomy and fusion surgery is longer.
A laminectomy may be appropriate for people with pinched nerves resulting from spinal stenosis, herniated disc, and other related conditions. Some patients with SpondylolisthesisA disorder of the spinal cord in which one vertebra slips onto the bone below it., where one vertebrae slips over another, potentially compressing spinal nerves, can also benefit from a laminectomy.
In 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.
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