| Disc
decompression is a surgical procedure performed to alleviate pain caused by pinched
nerves. In this procedure, a small portion of the bone over the nerve root and/or
disc material from under the nerve root is removed. This gives the nerve root
more space and provide a better healing environment. Between
the bones of the spine (vertebrae) there is soft tissue which acts like a shock
absorber. Through injury or other causes, some patients have had this material
compressed, distorting the shape of the disc and causing the material to create
pressure on surrounding nerves (neural impingement). Several conditions may cause
such neural impingement, including spinal stenosis, disc herniation, or, rarely,
tumors. A
lumbar laminectomy is a surgical procedure that is performed to alleviate pain
caused by neural impingement. The laminectomy surgery is designed to remove a
small portion of the bone over the nerve root and/or disc material from under
the nerve root to give the nerve root more space and a better healing environment.
A
laminectomy is effective in decreasing pain and improve functions for patients
with lumbar spinal stenosis, a condition that primarily afflicts elderly patients
and is caused by degenerative changes that result in enlargement of the facet
joints. The enlarged joints then place pressure on the nerves. The
surgical results for a laminectomy are much better for relief of leg pain caused
by spinal stenosis, and not nearly as reliable for relief of lower back pain.
Although removing the lamina and part of the facet joint can create more room
for the nerve roots it does not eliminate the arthritis. Unfortunately, symptoms
may recur after several years as the degenerative process that originally produced
the spinal stenosis continues.
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