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Lumbar Decompression

The operation releases compression and pressure from a disc or ligament or bony structure compressing a nerve or the spinal cord. It can involve a laminectomy, discectomy and/or spinal fusion. Lumbar decompression is often used to treat : 1. Spinal stenosis -narrowing of a section of the spinal column due to degenerative disc bulge combined with overgrowth of bone such as facet joints or as a results of thickening of the ligamentum flavum, and leads to a compression of the dural sac and spinal nerves. 2. Slipped disc with persistent sciatica symptoms - where a damaged spinal disc presses down on an underlying nerve . 3. Spinal injury - such as a fracture or swelling of the tissue 4. Metastatic spinal cord compression - where cancer spreads into the spine and presses on the spinal cord or nerves.
  • Speciality Neurosurgery, Orthopaedics 
  • Urgency elective, urgent, emergency 
  • Duration to 4 h
  • Blood Loss 250 ml  to 1 litre
  • Anaesthesia General Anaesthetic +/- Local Anaesthetic 
  • Anaesthesia II General + Spinal 
  • Procedures Cell saver, +/- Arterial line, Prone position, Cross-match Blood (2 units) 
  • Pain moderate-severe (++++) 
  • Post-op Pain Local up to 4-8 hours, Spinal up to 5-10 hours 
  • Post-op Pain II Tablets, Injection (im, iv), PCA 
  • Hospital Stay 2   to 4 days
  • Full Recovery 4   to 8 weeks
  • Additional Info Surgeons may request that the blood pressure is lowered to reduce blood loss and improve the view during the operation. An arterial is necessary for extensive procedures and in those with significant heart disease. Major surgery, at multiple level or for tumours is often associated with considerable blood loss. Cell- salvage may be applicable . 
  • More Information Lumbar decompression surgery 
  • created by Dr Agata Kapuscinska 

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