Low Back Pain and Sciatica and Laminectomy (Spinal Decompression)
Effect of Laminectomy (Spinal Decompression) on Low Back Pain and Sciatica
A laminectomy, also called spinal decompression, is an open surgical procedure that involves removing a small portion of bone in the spine, called the lamina, in order to alleviate the pressure on spinal nerves that might cause a certain person's low back pain and/or sciatica. Along with bone, fragments of a ruptured disc may also be removed during surgery.
The surgeon makes an incision in the back, spreads the overlying muscles, and removes the lamina, which is the small part of the vertebral bone over the area where the nerve is being pinched. Once the bone is removed, the surgeon can see what is compressing the nerve and may remove the offending disc. The incision is closed with stitches or staples. Hopefully, this will cure the person's symptoms. Surgery as a treatment for low back pain and sciatica should only be considered after many other, less invasive, treatments have been tried and proven unsuccessful.
Bhagia SM. Slipman CW. Nirschl M. Isaac Z. El-Abd O. Sharps LS. Garvin C. Side effects and complications after percutaneous disc decompression using coblation technology. American Journal of Physical Medicine & Rehabilitation . 85(1):6-13, 2006 Jan.
Bridwell KH. Anderson PA. Boden SD. Vaccaro AR. Wang JC. What's new in spine surgery. Journal of Bone & Joint Surgery - American Volume. 90(7):1609-19, 2008 Jul.
Cohen SP. Williams S. Kurihara C. Griffith S. Larkin TM. Nucleoplasty with or without intradiscal electrothermal therapy (IDET) as a treatment for lumbar herniated disc. Journal of Spinal Disorders & Techniques . 18 Suppl:S119-24, 2005 Feb.
Conn's Current Therapy 2001. 53rd ed. WB Saunders Company; 2001.
Pain. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.n... . Accessed October 27, 2008.
Sciatica. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00351 . Accessed October 27, 2008.
Textbook of Primary Care Medicine. 3rd ed. Mosby, Inc.; 2001.
Updated Disketomy section on 6/7/2007 according to the following study, as cited by http://www.ebscohost.com/dynamed/what.php : Peul WC, van Houwelingen HC, van den Hout WB, et al. Surgery versus prolonged conservative treatment for sciatica. N Engl J Med. 2007;356:2245-2256.
Weinstein JN, Tosteson TD, Lurie JD, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT): a randomized trial. JAMA . 2006;296:2441–50.
Weinstein JN, Lurie JD, Tosteson TD, et al. Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort. JAMA . 2006;296:2451–9.
Zindrick MR. Tzermiadianos MN. Voronov LI. Lorenz M. Hadjipavlou A. An evidence-based medicine approach in determining factors that may affect outcome in lumbar total disc replacement. Spine . 33(11):1262-9, 2008 May 15.