Laminotomy and Foraminotomy

What is Laminotomy and Foraminotomy?

Laminotomy and foraminotomy are minimally invasive spinal decompression procedures designed to relieve pressure on spinal nerves caused by conditions such as spinal stenosis, herniated discs, or bone spurs. These procedures work by creating more space around the spinal cord and nerve roots, reducing pain, numbness, and weakness in the arms or legs.

  • Laminotomy involves removing a small portion of the lamina, the bony arch that protects the spinal cord, to relieve pressure.
  • Foraminotomy focuses on widening the neural foramen, the small openings where nerves exit the spine, to allow for better nerve function.

Both procedures are often performed together to maximize pain relief and restore mobility.

Benefits of Laminotomy and Foraminotomy

  • Minimally invasive approach with smaller incisions and less tissue disruption.
  • Immediate relief from nerve compression symptoms such as pain, numbness, and weakness.
  • Faster recovery time compared to traditional open spinal surgery.
  • Helps prevent progressive nerve damage and worsening symptoms.
  • Many patients experience long-lasting relief and improved mobility.

Who is a Candidate?

Laminotomy and foraminotomy may be ideal for patients who:

  • Have spinal stenosis, herniated discs, or bone spurs causing nerve compression.
  • Experience radiating pain, numbness, tingling, or weakness in the arms or legs.
  • Have difficulty walking or performing daily activities due to nerve-related discomfort.
  • Have not found relief with non-surgical treatments such as physical therapy or steroid injections.

How the Procedure Works

Both procedures are performed through a small incision using microsurgical techniques to remove bone or soft tissue that is compressing the nerve. The steps include:

  1. A small incision is made near the affected area of the spine.
  2. A surgical microscope or endoscope is used for precision and to minimize tissue disruption.
  3. The lamina or foramen is carefully reshaped to create more space for the nerve roots.
  4. The incision is closed, and the patient is monitored for a short time before being discharged.

These procedures are typically performed on an outpatient basis, allowing most patients to return home the same day.

Recovery Expectations

  • Most patients experience immediate relief from nerve pain after surgery.
  • Light activities can resume within 1-2 weeks, while full recovery takes 4-6 weeks.
  • Strenuous activities, bending, and heavy lifting should be avoided for at least 6 weeks.
  • Physical therapy may be recommended to strengthen the back and improve flexibility.

Hear From Our Experts

“Laminotomy and foraminotomy are powerful solutions for nerve compression. By precisely relieving pressure on the spinal nerves, these procedures help patients move freely again, reduce pain, and restore function—without the long recovery time of traditional spine surgery.” – Dr. John E Britt

Take the First Step

If you are struggling with chronic nerve pain, numbness, or weakness due to spinal compression, laminotomy or foraminotomy may provide the lasting relief you need to get back to an active lifestyle.
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