Dr. Ratish Kumar Mishra is a highly skilled and dedicated Consultant Orthopaedic and Spine surgeon currently associated with Sanjivini Hospital in Gomti Nagar, Lucknow. His areas of expertise include Neck Pain, Back Pain, Sciatica Pain, Slipped Disc, Lumbar Canal Stenosis, Spondylolisthesis, Fractures in the Spine, Spinal Cord Injury, Spine Tumors, and infections in the spine. He is also skilled in Scoliotic spine surgery and Deformity correction surgeries. He is well-versed in open, Minimally Invasive, and Endoscopic spine surgeries. He can perform anterior and posterior Cervical, Thoracic, and Lumbar spine surgery.”

 

Laminectomy

Laminectomy

Laminectomy is a surgical procedure designed to alleviate pressure on the spinal cord or nerves by removing a portion of the lamina, the bony arch covering the spinal canal. This overview provides insights into the principles, indications, the surgical process, and expected outcomes associated with laminectomy.

Principles of Laminectomy:

  1. Spinal Decompression:
    • The primary goal of laminectomy is to relieve pressure on the spinal cord and nerves caused by conditions such as spinal stenosis, herniated discs, or bone spurs.
  2. Increased Spinal Canal Space:
    • By removing a part or the entirety of the lamina, the spinal canal space is increased, allowing more room for the spinal cord and nerves.

Indications for Laminectomy:

  1. Spinal Stenosis:
    • Laminectomy is often recommended for individuals with spinal stenosis, a condition characterized by the narrowing of the spinal canal, leading to compression of the spinal cord and nerves.
  2. Herniated Discs:
    • When a herniated disc is compressing spinal structures, laminectomy may be performed to access and remove the problematic disc material.
  3. Bone Spurs (Osteophytes):
    • Laminectomy can address the presence of bone spurs or osteophytes that may be impinging on the spinal cord or nerves.
  4. Tumours:
    • In some cases, laminectomy is used to access and remove spinal tumours, whether they are benign or malignant.

The Surgical Process:

  1. Incision:
    • Laminectomy is typically performed under general anaesthesia. A small incision is made over the affected area of the spine.
  2. Soft Tissue Dissection:
    • Muscles and soft tissues are gently moved aside to expose the spine.
  3. Lamina Removal:
    • The surgeon removes a portion or the entire lamina, creating more space in the spinal canal.
  4. Nerve or Disc Decompression:
    • Any structures compressing the spinal cord or nerves, such as herniated discs or bone spurs, are carefully removed.
  5. Closure:
    • The incision is closed with stitches or staples, and the patient is monitored during the postoperative period.

Expected Outcomes:

  1. Pain Relief:
    • Laminectomy is often successful in relieving pain and other symptoms associated with spinal compression, improving the patient’s overall quality of life.
  2. Improved Functionality:
    • By decompressing spinal structures, laminectomy can enhance mobility, reduce numbness or weakness, and improve overall functionality.
  3. Prevention of Further Damage:
    • Laminectomy aims to prevent further damage to the spinal cord and nerves, particularly in conditions where compression is progressive.

Risks and Considerations:

  1. Infection:
    • As with any surgical procedure, there is a risk of infection at the surgical site.
  2. Bleeding:
    • Excessive bleeding is a potential risk during surgery.
  3. Nerve Damage:
    • While the goal is to relieve pressure on nerves, there is a slight risk of unintentional nerve damage during the procedure.
  4. Spinal Instability:
    • Removing a significant portion of the lamina may result in spinal instability, which may require additional stabilization procedures.

Conclusion:

Laminectomy is a well-established surgical procedure aimed at relieving spinal cord and nerve compression, providing relief for individuals suffering from conditions such as spinal stenosis or herniated discs. While the surgery carries certain risks, the benefits in terms of pain relief and improved functionality can be significant. Patients considering laminectomy should engage in thorough discussions with their healthcare team to understand the procedure, potential risks, and expected outcomes based on their specific condition

    Patient’s Reviews

    Dr. Ratish is an exceptional Orthopedic Surgeon whose expertise and dedication truly stand out. His meticulous attention to detail, coupled with his compassionate patient care, make him a remarkable choice for anyone seeking orthopedic treatment. With a deep commitment to improving his patients' quality of life, Dr. Ratish’s skill and professionalism are truly admirable.

    Shefali Chimnani

    Patient

    Dr Ratish is an exceptional specialist in spine care. His expertise is evident in his precise diagnoses and effective treatments. His dedication to patient well-being and extensive experience makes him a top choice for anyone seeking spine-related medical assistance.

    Aman Ahuja

    Patient