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Laminectomy vs Laminotomy | Spinal Decompression Explained 

Antonio J. Webb, M.D.
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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
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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.

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6 окт 2024

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Комментарии : 115   
@zoefiasco4904
@zoefiasco4904 Месяц назад
Great! I had a successful L5-S1 laminotomy and diskectomy over 25 years ago, and I wish this video had been available then. My surgeon was skilled and helpful, but there's nothing like seeing the actual procedure (on a plastic model) to understand what the operation does. Clear explanation too. Thanks!
@dramaturge231
@dramaturge231 Год назад
Even as a medical provider I find these videos helpful. Keep it up!!! 🙂
@xdk6133
@xdk6133 Год назад
Brilliant. As an aspiring spine surgeon it is good to see representation in the media.
@christophercharboneau9242
@christophercharboneau9242 Месяц назад
I'm 1 month post laminotomy/scs revision, and having a better understanding of the procedure really helped with some of the anxiety leading up to the procedure. Thanks for making this videos Dr. Webb
@Imjaredaja
@Imjaredaja Год назад
I really enjoyed seeing you drill on the plastic spine. Interesting to see that process up close
@getvideo4doctors
@getvideo4doctors 11 месяцев назад
Doctors who use video to better connect with and educate patients online are AWESOME! Great video Dr. Webb!!
@joerobert-qe9cn
@joerobert-qe9cn 5 месяцев назад
great info just had this done
@EJHarrop
@EJHarrop Год назад
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.
@edwardpinnix249
@edwardpinnix249 Год назад
I had a laminectomy, it's very interesting to see exactly what was done.
@RegularSizeRudy91
@RegularSizeRudy91 11 месяцев назад
How did it go? I have one coming up and idk what to expect
@edwardpinnix249
@edwardpinnix249 11 месяцев назад
Glad I had it done. Takes a while to heal after p/t. Hang in there. Good luck.👍@@RegularSizeRudy91
@jcaleca60
@jcaleca60 2 месяца назад
I had a lumbar laminectomy also
@edwardpinnix249
@edwardpinnix249 2 месяца назад
@@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 2 месяца назад
@@jcaleca60 Hope it went well!
@BionicWoman78
@BionicWoman78 6 месяцев назад
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 5 месяцев назад
How did your recovery go?
@BionicWoman78
@BionicWoman78 5 месяцев назад
@@phdreed Pretty good. I’m now five weeks post-op and am able to walk without pain!
@333jfish
@333jfish 5 месяцев назад
@@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 5 месяцев назад
@@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 5 месяцев назад
@@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.
@williamorrick2572
@williamorrick2572 4 месяца назад
I M having this procedure done Monday, excellent explanation I'm at ease now
@antoniowebbmd
@antoniowebbmd 4 месяца назад
All the best
@doradaisy5
@doradaisy5 10 месяцев назад
Best video I've seen. Very well described and illustrated
@alejandradiazruiz16
@alejandradiazruiz16 Год назад
Nicely explained. Loved this !
@IIoTBusinessDesigner
@IIoTBusinessDesigner Год назад
Dear Antonio, your videos are fantastic!! Have a good day!!!👍🏻
@smg267
@smg267 6 месяцев назад
Just had a lamineotmy glad i watched this after the surergy! Super informative and helps explain why im soo sore. Thanks Doctor! !
@tranquility9325
@tranquility9325 5 дней назад
I had a L5 S1 hemilaminotomy. I had a tumor in my spine. Immediate relief after surgery! Thanks Doc
@rosemartinez2174
@rosemartinez2174 11 месяцев назад
You are amazing Dr.Webb! Thank you for sharing your knowledge with us❤️
@Rama41
@Rama41 8 месяцев назад
An excellent overview explaining the procedure that lies ahead of me. Thanks.
@jdhorton1432
@jdhorton1432 Год назад
Awesome! Thanks for that demonstration 👍🏾
@nigela1867
@nigela1867 Год назад
Brilliant! Thank you Dr Webb!
@bradleyallred9710
@bradleyallred9710 11 месяцев назад
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 😅
@yahiab2561
@yahiab2561 Год назад
thank you Doctor , please can you make a video about the laminectomy procedure ?
@chanelv5373
@chanelv5373 6 месяцев назад
I’m being scheduled for a Lami as I write this. Excellent job explaining and demonstrating how it’s done. 👏🏽👏🏽❤️ Thank you.
@antoniowebbmd
@antoniowebbmd 6 месяцев назад
Thank you!!
@العابدالراجي
@العابدالراجي 6 месяцев назад
​@@antoniowebbmd if bone removed, do the spinal need fusion ?. Is it ok to keep the back without bone which protect the nerv.
@marchandnicolas2001
@marchandnicolas2001 11 месяцев назад
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 👍👏
@acwright
@acwright Год назад
Those models aren't cheap!
@christiehershey776
@christiehershey776 4 месяца назад
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.
@AmenaAdams
@AmenaAdams Месяц назад
Awesome job Doc - very clear to understand. The demo was great too!
@antoniowebbmd
@antoniowebbmd Месяц назад
Thank you. Glad you enjoyed it.
@amenaalhashimiadams1867
@amenaalhashimiadams1867 Месяц назад
@@antoniowebbmdI’m heading into a Neurosurgery Fellowship interview tomorrow and was doing some prep 😉 Little did I know that I’d find someone that is both brilliant and humble, you are everything I want to be “when I grow up.”
@dknight-m8b
@dknight-m8b Год назад
Outstanding video!
@timhalleran3514
@timhalleran3514 8 месяцев назад
Thank you Doc! I'm looking at this procedure to relieve my nerve pain and weakness in my right leg.
@davemullins6999
@davemullins6999 Год назад
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?
@hamzaalkibsi8303
@hamzaalkibsi8303 11 месяцев назад
Thank you for your sacrifice 🙏
@katrinaatkins6308
@katrinaatkins6308 26 дней назад
So helpful thank you for this video
@TheBrokenNomad
@TheBrokenNomad Год назад
I have DJD as well as stenosis. If only I was going to be here in San Antonio for more than a few weeks…
@AntonioDiaz
@AntonioDiaz 3 месяца назад
Great breakdown!
@NTGAdmin
@NTGAdmin 11 месяцев назад
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
@FlipMacz Год назад
Amazing. Doctor can someone with osteoporosis still get this surgery?
@peterjoachim612
@peterjoachim612 11 месяцев назад
Awesome video
@DarlingNikki2
@DarlingNikki2 6 месяцев назад
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.
@chetmarcotti4953
@chetmarcotti4953 9 месяцев назад
Awesome presentation, thank you
@jethrox827
@jethrox827 Год назад
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 11 месяцев назад
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.
@ron2368
@ron2368 Год назад
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 Год назад
I was wondering the same thing…..How does it affect the integrity of the rest of the bones and spine.
@pompanomike8704
@pompanomike8704 Год назад
You sure do.
@garrettquaid9841
@garrettquaid9841 Месяц назад
I had this procedure to remove a neuro fibroma dumbell sheeth tumor. I am still recovering from this procedure. Although, I am yet to find an institution that can provide sustainable life for day to day activities.
@DarthBetta-c5z
@DarthBetta-c5z 12 дней назад
Does the removal of the spinous process affect the patients life in anyway later on? Lifting bending or any activities the patient can't do afterwards?
@joec9553
@joec9553 19 дней назад
I'm fused from C4-7 with ruptured disc at C3-4 that's pushing on my spinal cord. Nearly 10 years since my last ACDF, and scared of 4th cervical surgery.
@jcaleca60
@jcaleca60 2 месяца назад
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😮
@Beencouraged777
@Beencouraged777 11 месяцев назад
Scary stuff, I had cervical laminoplasty with instrumentation
@samuelkontoh4609
@samuelkontoh4609 Год назад
Interesting ❤
@jeffrubenstein2953
@jeffrubenstein2953 9 месяцев назад
I found this to be vey helpful
@antoniowebbmd
@antoniowebbmd 9 месяцев назад
Great!
@mooch2u
@mooch2u 10 месяцев назад
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
@TonyPennese
@TonyPennese 6 месяцев назад
Im having this done at the end of April
@jesuscuevas2744
@jesuscuevas2744 6 месяцев назад
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
@Ahdbfbfbeh
@Ahdbfbfbeh Год назад
I love this!
@carlogarcia209
@carlogarcia209 6 месяцев назад
During an Laminectomy surgery do patients need catheter? And how long after surgery can you walk.
@petervernelen6784
@petervernelen6784 4 месяца назад
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
@6.8SuperDutyDriver
@6.8SuperDutyDriver Год назад
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 Год назад
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
@robertogil3723
@robertogil3723 2 месяца назад
Thank you
@XX-166
@XX-166 8 месяцев назад
Now that the lamina is gone you’re missing that structure for stability so longterm what’s the patients outlook after that?
@GuyBREW
@GuyBREW Год назад
Hi Doctor Webb quick question, how tall are you?
@SpiritMover314
@SpiritMover314 Год назад
5’ 11”
@Gangster_God
@Gangster_God Год назад
6’5
@GuyBREW
@GuyBREW Год назад
I believe he's like 6'7
@brentcarson9634
@brentcarson9634 8 месяцев назад
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.
@billymarkwell1105
@billymarkwell1105 9 месяцев назад
why use such a dangerous instrument when there is a safer alternative tool.......that tool is the ultrasonic bone scalple......
@mayle4626
@mayle4626 Месяц назад
Hi dr. What happen to the bone that missing ? It is a spine and if it was removed and scooped out a portion, can the person walk or do anything after that?
@cosslog
@cosslog 6 дней назад
I had this surgery at L5 S1 with being appartly invalid in oktober 2023 with success, could do sport after that a few months later... But now in september 2024 it happend again...my disc poppet again and now we are waiting a few weeks to decide, if i need a suergery again. I feel trash
@SandraRenteria-tc2eo
@SandraRenteria-tc2eo 13 дней назад
Dr. Webb, how can I reach you? I’m in San Antonio and tried to schedule an office visit with you. It was made online but your office cancelled it because I don’t have my surgical notes since my surgery was under 3 years. I am in a lot of pain and I really need to be seen by you. Perhaps your office can request my records which is common. I will sign whatever release forms in order for you to see me.
@antoniowebbmd
@antoniowebbmd 12 дней назад
Im sorry that happened. Can you email me this comment with your name and number, ill have my office call today.
@srinathakalingaraoananthar1169
@srinathakalingaraoananthar1169 3 месяца назад
After surgery any problem to do regular works like hard work. Only we have to lite work
@joeserrenti9857
@joeserrenti9857 5 месяцев назад
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 ?
@davidcardwell342
@davidcardwell342 20 дней назад
I just had this done does this mean my back is weaker since my bone is now gone.
@chinonsoidechukwuka8655
@chinonsoidechukwuka8655 11 месяцев назад
Hey Dr webb, is it possible to work for more than 1 hospital as a consultant hematology in the USA?
@noexp7710
@noexp7710 10 месяцев назад
If someone came to you with stenosis and bastrups would a laminectomy be appropriate?
@GoatPersonThing
@GoatPersonThing 11 месяцев назад
any chance of a vid on pectus excavatum and the surgeries done for those? (ik its not related to spine but, science)
@rachelhope7194
@rachelhope7194 Месяц назад
Plz help I’m 28 and I can’t walk without excruciating pain. I can’t walk i cant sit I can’t exercise. I feel like my pelvis is caving in
@siddinibhaskar9712
@siddinibhaskar9712 Год назад
Hello sir how are you🎉🎉🎉🎉🎉
@stevendwoodruff
@stevendwoodruff 8 месяцев назад
Thanks.
@antoniowebbmd
@antoniowebbmd 8 месяцев назад
You're welcome
@dirkbaeuerle2952
@dirkbaeuerle2952 11 месяцев назад
The drill sounds similar to what a dentist would use.
@ashog1426
@ashog1426 Год назад
Note to self : stick to medium heavy with my squats and deadlifts.... lulz
@thelemonwho
@thelemonwho 8 месяцев назад
I would've worn a mask, with all that plastic/resin dust! Be safe, Doc.
@Albe209
@Albe209 2 месяца назад
Is this a joke
@toddgregory2100
@toddgregory2100 6 месяцев назад
this looks terrible. Jesus!!
@fragslap5229
@fragslap5229 11 месяцев назад
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 8 месяцев назад
Ask any surgeon that and see what the response is
@Cinnamints1226
@Cinnamints1226 Месяц назад
That is not how any of this works😂 why would you get your money back? They can’t unperform a surgery. Always read before you sign, people.
@fragslap5229
@fragslap5229 Месяц назад
@@Cinnamints1226 Easy, if you're STILL in pain after the surgery, they REFUND your money. Watch how quickly the number of surgeries performed would spiral DOWNWARD.
@saileshkumarragoo1591
@saileshkumarragoo1591 Месяц назад
Endoscopic Spinal surgery is the best option
@calvinhancock1290
@calvinhancock1290 11 месяцев назад
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
@adelinebaah7214
@adelinebaah7214 4 месяца назад
Thank you
@satxification
@satxification 7 месяцев назад
Thank you
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