Types of lumbar procedures
- Laminectomy: removes the lamina (the back of the vertebra) and thickened ligament to widen the spinal canal.
- Laminotomy / minimally invasive decompression: creates a smaller opening, often through a tubular retractor, preserving more bone and muscle.
- Foraminotomy: enlarges the opening where a nerve root exits the spine.
- Discectomy: removes a herniated disc fragment.
- Decompression with fusion: when the spine is unstable or a vertebra has slipped.
Who is a candidate?
Patients with lumbar stenosis, sciatica or nerve compression whose leg pain, numbness or walking limitation persists despite therapy, medication and injections, and whose imaging matches their symptoms.
Recovery
Decompression without fusion is often performed as outpatient surgery or with a one-night stay. Patients walk the same day, and many notice their legs feel lighter right away. Desk work can typically resume within two weeks; heavier activity is phased in over six to eight weeks.
Common questions
Is a laminectomy major surgery?
It is a common, well-established operation. Minimally invasive versions use smaller incisions and many patients go home the same day.