Laminectomy vs Laminotomy | Spinal Decompression Explained

In this video, Dr. Webb explains the difference between a laminectomy and laminotomy.
What is the difference?
Laminectomy and laminotomy are both surgical procedures performed on the spine to relieve pressure on the spinal cord or nerve roots. They are often used to treat conditions like spinal stenosis or herniated discs. While they share similarities, there are key differences between the two procedures:
Laminectomy:
A laminectomy is a more extensive spinal surgery. It involves the removal of the entire lamina, which is a flat piece of bone at the back of the vertebra, covering the spinal canal.
The removal of the entire lamina provides greater access to the spinal canal and allows for more decompression. It is generally used when there is a significant compression of the spinal cord or nerve roots. Laminectomy may result in greater instability of the spine, and spinal fusion is sometimes performed to stabilize the area.
Laminotomy:
A laminotomy is a more conservative procedure, usually done to relieve pressure of one or two nerves (disc herniation). It involves the removal of only a portion of the lamina, creating a small window or opening in the bone to access the spinal canal. A laminotomy is less invasive compared to laminectomy, which means it typically results in less damage to the spinal structures and a quicker recovery. It is often used when the compression on the spinal cord or nerves is mild to moderate.
In summary, the primary difference between laminectomy and laminotomy lies in the extent of bone removal. Laminectomy removes the entire lamina, providing more extensive access to the spinal canal, while laminotomy removes only a portion of the lamina, offering a more limited view and decompression. The choice between these procedures depends on the specific condition, the severity of compression, and the goals of the surgery, and it is typically made by a spine surgeon after a thorough evaluation of the patient's condition.
To see Dr Webb as a patient, please contact:
Antonio J. Webb, MD
Orthopedic Spine Surgeon
South Texas Spinal Clinic
9150 Huebner Road Suite 290
San Antonio, Texas 78240
Office: 210-614-6432
Fax: 210-293-4171
www.spinaldoc.com
antoniowebbmd.com
Learn about Dr. Webb's foundation
thewebbfamilyfoundation.org/
Dr. Webb's new book, Overcoming the Odds (ranked 5 STARS!) is available NOW at: amzn.to/2hV3MtR
MEDICAL DISCLAIMER
The information provided is not intended to be a substitute for professional medical advice, diagnosis or treatment. Never disregard professional medical advice, or delay in seeking it, because of something you have read on this website. Never rely on information on this website in place of seeking professional medical advice.

Пікірлер: 95

  • @dramaturge231
    @dramaturge2319 ай бұрын

    Even as a medical provider I find these videos helpful. Keep it up!!! 🙂

  • @getvideo4doctors
    @getvideo4doctors9 ай бұрын

    Doctors who use video to better connect with and educate patients online are AWESOME! Great video Dr. Webb!!

  • @joerobert-qe9cn

    @joerobert-qe9cn

    3 ай бұрын

    great info just had this done

  • @xdk6133
    @xdk61339 ай бұрын

    Brilliant. As an aspiring spine surgeon it is good to see representation in the media.

  • @Imjaredaja
    @Imjaredaja9 ай бұрын

    I really enjoyed seeing you drill on the plastic spine. Interesting to see that process up close

  • @alejandradiazruiz16
    @alejandradiazruiz169 ай бұрын

    Nicely explained. Loved this !

  • @nigela1867
    @nigela18679 ай бұрын

    Brilliant! Thank you Dr Webb!

  • @Rama41
    @Rama416 ай бұрын

    An excellent overview explaining the procedure that lies ahead of me. Thanks.

  • @doradaisy5
    @doradaisy57 ай бұрын

    Best video I've seen. Very well described and illustrated

  • @rosemartinez2174
    @rosemartinez21749 ай бұрын

    You are amazing Dr.Webb! Thank you for sharing your knowledge with us❤️

  • @smg267
    @smg2674 ай бұрын

    Just had a lamineotmy glad i watched this after the surergy! Super informative and helps explain why im soo sore. Thanks Doctor! !

  • @IIoTBusinessDesigner
    @IIoTBusinessDesigner9 ай бұрын

    Dear Antonio, your videos are fantastic!! Have a good day!!!👍🏻

  • @jdhorton1432
    @jdhorton14329 ай бұрын

    Awesome! Thanks for that demonstration 👍🏾

  • @EJHarrop
    @EJHarrop9 ай бұрын

    Thank you Dr. Webb I had a Hemi-Laminectomy and micro disc with some local spur gardening in 1989 by an amazing surgeon. He was a very highly skilled, Head of Neurosurgery and as I recall at the time I thought his fingers were like sausages that could be a challenge for him to perform. techniques Well not a problem, he did an excellent and I am doing okay today with some lumbar back aching but doing fine. I was in hospital for 3 days and flat on my back for about 4 weeks. In contrast, my sister had a similar procedure recently and was in hospital overnight and up and about the next day starting PT in a just few days. MIS access and other new techniques are impressive Thank you for sharing. God bless.

  • @Knighttimedrugs
    @Knighttimedrugs9 ай бұрын

    Outstanding video!

  • @chetmarcotti4953
    @chetmarcotti49537 ай бұрын

    Awesome presentation, thank you

  • @hamzaalkibsi8303
    @hamzaalkibsi83039 ай бұрын

    Thank you for your sacrifice 🙏

  • @marchandnicolas2001
    @marchandnicolas20019 ай бұрын

    Your very fine explanations with 3D images and doing surgery on the model of the back make the best video i've ever seen. Congratulation 👍👏

  • @AntonioDiaz
    @AntonioDiaz26 күн бұрын

    Great breakdown!

  • @peterjoachim612
    @peterjoachim6129 ай бұрын

    Awesome video

  • @timhalleran3514
    @timhalleran35146 ай бұрын

    Thank you Doc! I'm looking at this procedure to relieve my nerve pain and weakness in my right leg.

  • @bradleyallred9710
    @bradleyallred97109 ай бұрын

    Doc this is amazing... I need to see you soon! Coming from corpus and i found out you are in my network for insurance! Looking forward to seeing you soon.. wish it was under different circumstances 😅

  • @edwardpinnix249
    @edwardpinnix2499 ай бұрын

    I had a laminectomy, it's very interesting to see exactly what was done.

  • @RegularSizeRudy91

    @RegularSizeRudy91

    9 ай бұрын

    How did it go? I have one coming up and idk what to expect

  • @edwardpinnix249

    @edwardpinnix249

    9 ай бұрын

    Glad I had it done. Takes a while to heal after p/t. Hang in there. Good luck.👍@@RegularSizeRudy91

  • @jcaleca60

    @jcaleca60

    19 күн бұрын

    I had a lumbar laminectomy also

  • @edwardpinnix249

    @edwardpinnix249

    19 күн бұрын

    @@RegularSizeRudy91 It went well. Slow recovery. Painful, a lot of p/t. Stayed active & doing better than I ever thought I would. Good luck!

  • @edwardpinnix249

    @edwardpinnix249

    19 күн бұрын

    @@jcaleca60 Hope it went well!

  • @williamorrick2572
    @williamorrick2572Ай бұрын

    I M having this procedure done Monday, excellent explanation I'm at ease now

  • @antoniowebbmd

    @antoniowebbmd

    Ай бұрын

    All the best

  • @yahiab2561
    @yahiab25619 ай бұрын

    thank you Doctor , please can you make a video about the laminectomy procedure ?

  • @BionicWoman78
    @BionicWoman784 ай бұрын

    I’m having this procedure in ten days!! This will be my fourth surgery since 2019. Of course, my three prior surgeries were on different areas of my body. I’m a tad nervous to have spine surgery. But more than anything, I’m looking forward to the relief I will get post-op. I appreciate the well informed video!

  • @phdreed

    @phdreed

    3 ай бұрын

    How did your recovery go?

  • @BionicWoman78

    @BionicWoman78

    3 ай бұрын

    @@phdreed Pretty good. I’m now five weeks post-op and am able to walk without pain!

  • @333jfish

    @333jfish

    2 ай бұрын

    @@BionicWoman78 Are you able to lift anything like a computer bag, boxes, or a kitchen chair? I am having this done in June and trying figure out how long I will be out of work. Glade you're healing up, I can't wait to be able work pain free again.

  • @BionicWoman78

    @BionicWoman78

    2 ай бұрын

    @@333jfish No bending, no lifting anything heavier than 10 pounds, and no twisting for six weeks after surgery. I’m right at six weeks now and my body lets me know when I’ve done something I shouldn’t or when I’ve done too much. I have a desk job, working from home and I’ve been off for six weeks. I return 5/8.

  • @333jfish

    @333jfish

    2 ай бұрын

    @@BionicWoman78 Thank you, I do not have a desk or not full time one anyway. Only about 10% my work day is at desk. I do get quit a bit of windshield time in tho.

  • @Ahdbfbfbeh
    @Ahdbfbfbeh9 ай бұрын

    I love this!

  • @adelinebaah7214
    @adelinebaah72142 ай бұрын

    Thank you

  • @chanelv5373
    @chanelv53734 ай бұрын

    I’m being scheduled for a Lami as I write this. Excellent job explaining and demonstrating how it’s done. 👏🏽👏🏽❤️ Thank you.

  • @antoniowebbmd

    @antoniowebbmd

    4 ай бұрын

    Thank you!!

  • @user-xb1tl4lw5d

    @user-xb1tl4lw5d

    3 ай бұрын

    ​@@antoniowebbmd if bone removed, do the spinal need fusion ?. Is it ok to keep the back without bone which protect the nerv.

  • @jeffrubenstein2953
    @jeffrubenstein29537 ай бұрын

    I found this to be vey helpful

  • @antoniowebbmd

    @antoniowebbmd

    7 ай бұрын

    Great!

  • @samuelkontoh4609
    @samuelkontoh46099 ай бұрын

    Interesting ❤

  • @mooch2u
    @mooch2u7 ай бұрын

    Thanks for the video it was very helpful, do you also do ultrasonic surgery or shed any light on this type of surgery? I will probably need surgery for spinal stenosis, a disk bulge, and arthritis all in my lower 4 and 5

  • @NTGAdmin
    @NTGAdmin9 ай бұрын

    Are you able to do a video about ankylosing spondylitis and what it is, what it does and what treatment options there are please? I have ankylosing spondylitis and I’m not very sure as to what it is and what it’s long term effects are and what sort of treatment options there are, I’m currently on imraldi adalinmumab anti tnf injections Would really appreciate it All the best

  • @FlipMacz
    @FlipMacz9 ай бұрын

    Amazing. Doctor can someone with osteoporosis still get this surgery?

  • @christiehershey776
    @christiehershey776Ай бұрын

    I have had 2 lower back surgeries the first in 2005 due to a herniated disc at L4 - L5, had to go back in 2015 because I was in a lot of pain, they removed the screw and rods at L4 - L5 and made a cage at L5 - S1. In 2019 I had surgery on my neck because of spinal stenosis at C2 - C4. Now I have to have more surgery under that surgery site. I’m only 50 years old and will have had 4 spinal surgeries. The other 3 were preformed but Orthopedic surgeons and my pain doctor is sending me to a neurosurgeon.

  • @goatqueen781
    @goatqueen7819 ай бұрын

    any chance of a vid on pectus excavatum and the surgeries done for those? (ik its not related to spine but, science)

  • @acwright
    @acwright9 ай бұрын

    Those models aren't cheap!

  • @TheBrokenNomad
    @TheBrokenNomad9 ай бұрын

    I have DJD as well as stenosis. If only I was going to be here in San Antonio for more than a few weeks…

  • @stevendwoodruff
    @stevendwoodruff5 ай бұрын

    Thanks.

  • @antoniowebbmd

    @antoniowebbmd

    5 ай бұрын

    You're welcome

  • @chinonsoidechukwuka8655
    @chinonsoidechukwuka86559 ай бұрын

    Hey Dr webb, is it possible to work for more than 1 hospital as a consultant hematology in the USA?

  • @TonyPennese
    @TonyPennese3 ай бұрын

    Im having this done at the end of April

  • @jesuscuevas2744

    @jesuscuevas2744

    3 ай бұрын

    JUST HAD IT DONE ON THE 17TH BUT AS AN EMERGENCY SURGERY DEFINITELY HAD A GOOD DOCTORS WITH ME THAT DAY SO I HOPE EVERYTHING GOES WELL FOR YOU

  • @jcaleca60
    @jcaleca6019 күн бұрын

    Thank you very good understanding I had a lumbar laminectomy I lost the feeling in my big toe okay but I get paid on my right side I went back to the doctor he really doesn't know😮

  • @srinathakalingaraoananthar1169
    @srinathakalingaraoananthar1169Ай бұрын

    After surgery any problem to do regular works like hard work. Only we have to lite work

  • @XX-166
    @XX-1666 ай бұрын

    Now that the lamina is gone you’re missing that structure for stability so longterm what’s the patients outlook after that?

  • @petervernelen6784
    @petervernelen67842 ай бұрын

    I'm dealing with cervicale stenosis C4/C5/C6 since 2019 and already had multiple infiltrations to relieve the pain, if I decide to get surgery what would be the correct procedure and how long would recovery be Thx in advance

  • @noexp7710
    @noexp77108 ай бұрын

    If someone came to you with stenosis and bastrups would a laminectomy be appropriate?

  • @calvinhancock1290
    @calvinhancock12909 ай бұрын

    I need your help I have spinal stenosis and had neck surgery and it has been hell on me and still having neck pain and pain in shoulder arms and between my shoulder blades and had physical therapy and no resolve help me please

  • @TankGuy3
    @TankGuy39 ай бұрын

    Is there any negative effects that come from the removal of the spinous process? More specifically related to the muscles that attach to it.

  • @ron2368

    @ron2368

    9 ай бұрын

    I would think mostly small intervertebral muscles that affect bone-to-bone stability.

  • @DarlingNikki2
    @DarlingNikki23 ай бұрын

    My mom, who is in her mid-70s, has spinal stenosis that has worsened over the past four years. She has pain and tightness in her buttocks and hips and her feet go numb very quickly when she stands making it hard for her to do much of anything. She's nervous to have surgery as most people are but I'm hoping she'll consider this before it's too late. She has a neurosurgeon she's been talking with for two years and he has excellent reviews but he did say the surgery won't help the numbness in her feet. I'm wondering if that's true, though, since it's seems like opening up the space for the nerves would help that numbness go away, even if only by some percentage.

  • @davemullins6999
    @davemullins69999 ай бұрын

    Maybe I'm just a dumb layman --- but the Rongeur seems like a barbaric crude surgical tool? Why not some kind of tiny powered saw for cutting away the lamina bone?

  • @ron2368
    @ron23689 ай бұрын

    Does removing the spinous and lamina affect joint stability of that vertebra? Over a several year period, do you see any repair or degenerative changes to the bone structure around the laminectomy? thanks

  • @SpiritMover314

    @SpiritMover314

    9 ай бұрын

    I was wondering the same thing…..How does it affect the integrity of the rest of the bones and spine.

  • @pompanomike8704

    @pompanomike8704

    9 ай бұрын

    You sure do.

  • @carlogarcia209
    @carlogarcia2094 ай бұрын

    During an Laminectomy surgery do patients need catheter? And how long after surgery can you walk.

  • @jethrox827
    @jethrox8279 ай бұрын

    I'd like to know the cons of this treatment, like how weakened is the spine and can the disk now move even more out of place etc

  • @Michael-ts9yp

    @Michael-ts9yp

    9 ай бұрын

    I'd be interested in this topic as well. I had a Laminectomy on the right side (L4/L5) back in 2016 due to a synovial cyst. This year, I was diagnosed with L4/L5 Spinal Stenosis. My surgeon recommended a Laminectomy on the left side, again in the L4/L5 region. I'm hesitant to have the surgery due to the fear of further weakening my spine. It would be great if you could speak to the risks of this procedure.

  • @6.4hemidriver44
    @6.4hemidriver449 ай бұрын

    I had back surgery in March of 2011. I'm not sure what they called it. They took the disc's out between S1 and L5 and between L5 and L4. Put rods, spacers, screws and bone from my hip in to encase everything.

  • @emmaleigh658

    @emmaleigh658

    9 ай бұрын

    a spinal fusion a believe is what youre describing. my spine is fused at l5-s1,they removed the disc, used bone from my hip and then theres some hardware keeping it together

  • @Beencouraged777
    @Beencouraged7779 ай бұрын

    Scary stuff, I had cervical laminoplasty with instrumentation

  • @brentcarson9634
    @brentcarson96346 ай бұрын

    I recently had a laminectomy L2-L4. The surgeon assured me before that it would NOT create instability in the back. But I don't see how that promise is possible if he's removing one or more spinous processes - in addition to some of the lamina. This was not explained well.

  • @GuyBREW
    @GuyBREW9 ай бұрын

    Hi Doctor Webb quick question, how tall are you?

  • @SpiritMover314

    @SpiritMover314

    9 ай бұрын

    5’ 11”

  • @Gangster_God

    @Gangster_God

    9 ай бұрын

    6’5

  • @GuyBREW

    @GuyBREW

    9 ай бұрын

    I believe he's like 6'7

  • @joeserrenti9857
    @joeserrenti98573 ай бұрын

    But doesnt the tradional laminectomy destabilize the lower spine because of the total bone removal ? Also , wont more bone, and scar tissue try to regrow in that area causing the process all over again within a short time ? Don't get me wrong , if you're losing feeling, and strength in your legs you have to do something .... But Pain relief in that area isn't always what is expected..... I would certainly try ANY non or minimally invasive treatment before cutting bone away ! And wouldnt the spinal cord be less protected in that area ?

  • @billymarkwell1105
    @billymarkwell11057 ай бұрын

    why use such a dangerous instrument when there is a safer alternative tool.......that tool is the ultrasonic bone scalple......

  • @siddinibhaskar9712
    @siddinibhaskar97129 ай бұрын

    Hello sir how are you🎉🎉🎉🎉🎉

  • @dirkbaeuerle2952
    @dirkbaeuerle29529 ай бұрын

    The drill sounds similar to what a dentist would use.

  • @ashog1426
    @ashog14269 ай бұрын

    Note to self : stick to medium heavy with my squats and deadlifts.... lulz

  • @thelemonwho
    @thelemonwho6 ай бұрын

    I would've worn a mask, with all that plastic/resin dust! Be safe, Doc.

  • @Albe209
    @Albe20917 күн бұрын

    Is this a joke

  • @toddgregory2100
    @toddgregory21004 ай бұрын

    this looks terrible. Jesus!!

  • @fragslap5229
    @fragslap52299 ай бұрын

    LOL! The FUNNY thing is that BOTH methods are really good for NOTHING but making MONEY for the surgeon! Don't believe me? Ask them for a money BACK if NOT satisfied guarantee and see what kind of response you get.

  • @XX-166

    @XX-166

    6 ай бұрын

    Ask any surgeon that and see what the response is

  • @satxification
    @satxification5 ай бұрын

    Thank you

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