Laminectomy/Laminotomy: Episode 82 

  • In this episode: What is the difference between a Laminectomy and Laminotomy and when are they used.

  • Chip Review @ (07:29): Deep River – Mango Habanero

  • Trivia question of the week @ (05:16): What is a group of hippos called?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

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Brief overview of the episode: 

            Laminectomy and laminotomy are both used to increase space around a spinal nerve. They are both forms of spinal decompression.
            Laminectomy is a complete removal of the lamina which is a part of the spinal vertebra. This procedure can often be on it’s own but it is often done in conjunction with a fusion. A fusion is done because the full removal of the lamina can lead to instability, specifically anterior instability known as a spondylolisthesis.
            Laminotomy is a partial removal of the lamina. This opens up space but maintains stability. This procedure is usually done without any additional surgical intervention.
            Both are typically done when stenosis is present and non-surgical treatment has not provided adequate pain relief. It is always a good idea to purse all non-surgical options prior to committing to a spinal surgery because at the end of the day you can’t put the lamina back.

 


Other Episodes you might enjoy:

Pain: Episode 29

Discectomy: Episode 81

Stenosis: Episode 36

 

Discectomy: Episode 81

  • In this episode: Discectomy aka diskectomy, microdiscectomy, disk decompression, percutaneous discectomy. This is when a piece of a vertebral disk is removed.

  • Chip Review @ (09:36): Boulder Canyon – Hickory Barbeque

  • Trivia question of the week @ (08:43): What country has the oldest (continually used) national flag?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

To Subscribe, Review and Download select your preferred hyperlink below

Apple Podcasts:

Google Play:

Youtube: 

Stitcher: 

Podbean: 

Spotify:

Brief overview of the episode:

            Discectomy aka Diskectomy, microdiscectomy, disk decompression, percutaneous discectomy is when part of a damaged spinal disk is removed. This will be done when non-surgical treatment has not provided adequate relief from pain or when there is atrophy, loss of sensation, numbness that does not improve with change in position or most significantly there are bowel and bladder issues.
            Surgery for spinal disk issues is done though a minimally invasive procedure where the damaged portion of the disk is removed. Surgical success rates are better in the first 3 months when compared to non-surgical treatments. However, by 1 year both surgery and non-surgery groups have similar outcomes and in 5 years the surgical group has slightly worse outcomes.
            Physical therapy treatment is highly effective in eliminating the symptoms associated with disk herniation/bulge/rupture. There are very few cases where physical therapy is not at least attempted in the management of pain and function loss associated with spinal disk issues.

 

Other Episodes you might enjoy:

Pain: Episode 29

Pain: Episode 29

Radicular Pain: Episode 22

Low Back Pain: Episode14

 

 

Spine Surgery Overview: Episode 80

  • In this episode: Spine surgery; we touch on the common surgical procedures as well as reasons to consider surgery or physical therapy.

  • Chip Review @ (12:47): Chipsy (Hot & Lemon Sauced) Chilli Lemon – These chips are from Egypt – Thank you Khem

  • Trivia question of the week @ (11:29): Who has the most NHL all-star game assists?

  • Follow us on Instagram: 2pts_n_a_bagofchips and/or Twitter @2PTsNaBagOChips to see photos, video and get additional episode specific information throughout the week.

  • Thanks for listening!!

To Subscribe, Review and Download select your preferred hyperlink below

Apple Podcasts:

Google Play:

Youtube: 

Stitcher: 

Podbean: 

Brief overview of the episode:

            In this episode we do an overview of spine surgery. There are many options out there and depending on the situation they can all be helpful.
            It is important to remember that spine surgery is not a fix all. Sometime pain in your back is due to situations that cannot or should not be corrected by surgery. Pain in general is not the best indicator of surgery.
            Atrophy, numbness, tingling, loss of sensation or muscle control are in most cases strong indicators that surgery would be appropriate. Everything has to be considered on an individual basis. Sudden acute changes or trauma are more concerning than a slow progression.
            Just because an x-ray or MRI shows a structural change it is important make sure that change is causing your symptoms. That is why a full diagnostic work up is a must before considering surgery. Don’t forget conservative care is not passive it is everything other than surgery.

 

Other Episodes you might enjoy:

Imaging: Episode 45

Low Back Pain: Episode14

Stenosis: Episode 36

Core/Abdominal Wall: Episode 35

Pain: Episode 29

 

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