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Lumbar laminectomy surgery

Laminectomy - Mayo Clini

  1. ectomy is surgery that creates space by removing the la
  2. ectomy surgery is a common type of spine surgery. During the procedure, a spine surgeon removes a small section of bone (called the la
  3. ectomy describes the removal of the la
  4. ectomy, also called open decompression, is a surgical procedure performed to treat the symptoms of central spinal stenosis or narrowing of the spinal canal. The surgery involves removal of all or part of the la
  5. ectomy is one of the most common back surgeries. During a la

Laminectomy is a type of surgery in which a surgeon removes part or all of the vertebral bone (lamina). This helps ease pressure on the spinal cord or the nerve roots that may be caused by injury, herniated disk, narrowing of the canal (spinal stenosis), or tumors. A laminectomy is considered only after other medical treatments have not worked This medical animation shows a lumbar laminectomy back surgery procedure. Beginning with an orientation of the lumbar spine, the animation show a left side.

Laminectomy Surgery for Back Pain: Treatment, Risks, Recover

A hospital stay of 1 to 4 days is typically required following a lumbar laminectomy surgery. 1 During this period, the patient is monitored by the hospital staff for any complications. Typically, a physical therapist works with the patient during the hospital stay to help with a guided rehabilitation program. See Rehabilitation After Spine Surgery Lumbar laminectomy is a surgical procedure to remove bony pressure on the spinal canal and spinal nerves to relieve buttock, hip, and leg pain. Occasionally disc material needs to be removed. If there is instability of your spine you may require a posterior fusion of the spine. This procedure involves taking either bone graft (from your pelvis. A lumbar laminectomy removes most of the bony arch, or lamina, of a vertebra when other medical treatments fail to relieve back pain. Back pain can grow progressively worse and more disabling, depending on the cause. At some point, your doctor may suggest surgery as one of the alternatives. The lumbar laminectomy may be one option

A laminectomy is a type of back surgery used to relieve compression on the spinal cord. During the procedure, your doctor will remove the lamina. The lamina is part of the bone that forms the.. A lumbar laminectomy is a surgical procedure to remove a small portion of a vertebra, or back bone in the lower back (lumbar). Lumbar laminectomy is usually done to take pressure off the spinal cord or a spinal nerve. It may also be done to access the spinal cord, bones and discs below the lamina, or the removed part of the bone Lumbar Laminectomy Physical Therapy Prescription The intent of this protocol is to provide guidelines for rehab. It's not intended as a substitute for clinical decision making. If any of the following occur, contact Dr. Poulter and hold off on physical therapy: Any signs of infectio A lumbar laminectomy surgical procedure removes pressure on the nerves in the low back which is caused by thickened ligament and arthritis. The lamina, the bone forming the roof of the spinal canal, is removed in order to take pressure off of the nerves in the low back; hence, it is also referred to as decompressive or decompression laminectomy In a complete lumbar laminectomy, an incision is made in the skin of the lower back and the soft tissues are separated to expose the spine. After cutting into the facet joint, the surgeon cuts into the lamina of the spine and removes small spurs and pieces of bone that cause the narrowing inside the spinal column

Laminectomy, also known as lumbar or spinal decompression, can relieve spinal nerve pressure and ease back, neck and leg discomfort caused by diseases and conditions of the spine. If you are having this surgery, here are some things you can do to help make your laminectomy recovery a success. 1. Pick the right doctor Lumbar Laminectomy REHABILITATION PROTOCOL Phase I: Protection Phase/Immediate Motion (0 - 6 Weeks post-op) 0-3 Weeks post-op: ! No PT for the first 3 weeks unless otherwise specified by physician ! Gradual return to ADL's at home ! MD follow up at 3 weeks post op to clear for P Laminectomy is a type of back surgery in which a surgeon removes part or all of the lamina. Some people may refer to the surgery as a posterior spinal decompression

A lumbar laminectomy is surgery to ease pressure on the spinal cord and nerves of the lower spine. The doctor took out pieces of bone that were squeezing the spinal cord and nerves. You can expect your back to feel stiff or sore after surgery. This should improve in the weeks after surgery The most common procedure for stenosis is called laminectomy, which involves removing the bony plate (lamina) on the back of a vertebra. This opens up more space for the spinal nerves. It's a simpler procedure that is just as effective but safer than fusion, with 80% to 90% relief of pain, Dr. Atlas says A lumbar laminectomy, or lumbar decompression, is performed to treat spinal stenosis, a narrowing of the spinal canal that puts pressure on the nerves in the.. A laminectomy is surgery to take out the bony arches (lamina) of one or more of the vertebrae in your spine. This surgery can help to relieve pressure on your spinal cord or nerves. When you lie on your back, place 2 or 3 pillows under your knees and the lower part of your legs to raise them. When you lie on your side, bend your knees and.

Lumbar Laminectomy - The Spine Hospital at The

  1. ectomy? A la
  2. ectomy? A la
  3. ectomy and discectomy is a surgical procedure that your orthopedic or neurologic surgeon may perform to help decrease pain and improve mobility. The procedure involves cutting away disc and bone material that may be pressing against the nerves co

Lumbar Laminectomy Surgery for Spinal Stenosis (Open

Lumbar Laminectomy and Discectomy. Share. X-rays may be required during surgery to make sure the correct vertebra is located. The doctor cuts a small opening through the lamina bone on the back of the spinal column. This procedure gives the doctor room to see and work inside the spinal canal Lumbar laminectomy effectively treats leg pain related to herniated discs, spinal stenosis, and other related conditions. Stenosis occurs as people age and the ligaments of the spine thicken and harden, discs bulge, bones and joints enlarge, and bone spurs or osteophytes form.Spondylolisthesis (the slipping of one vertebra onto another) also can lead to compression

Spinal Fusion Surgery (PLIF/TLIF) - Procedure & Treatment

Laminectomy for Lumbar Spinal Stenosis: Purpose, Procedure

  1. ectomy surgery is considered only if non-surgical treatments have proven to be ineffective. What to expect During the surgery, the spine surgeon removes a small portion of the bone over the nerve root (la
  2. otomy or whether a la
  3. ectomies, for the purpose of relieving pressure on spinal nerves, have a good short-term success rate, explaining why the procedure is considered one of the most common spinal surgeries performed.Results tend to be mixed, however, when looking at long-term success rates. Success Rate Linked to the Reason for the Operation. Individual success rates for la
  4. ectomy Surgery Recovery. For me, the upside was an immediate relief in the sciatic pain and I got some use of my leg back within hours of the surgery. Reality is that recovering from la
  5. ectomy. This procedure involves the removal of the bone overlying the spinal canal. It enlarges the spinal canal and is performed to relieve nerve pressure caused by spinal stenosis. Fusion. Spinal fusion permanently connects two or more bones in your spine. It can relieve pain by adding stability to a spinal fracture

Laminectomy Johns Hopkins Medicin

The potential risks and complications with a lumbar laminectomy include: Nerve root damage (1 in 1,000) or bowel/bladder incontinence (1 in 10,000). Paralysis would be extremely unusual since the spinal cord stops at about the T12 or L1 level, and surgery is usually done well below this level. Cerebrospinal fluid leak (1% to 3% of the time) A lumbar laminectomy is a surgery that removes most of the bony arch of a vertebra to treat lower back pain. Lumbar laminectomy is often performed in combination with other types of back surgery, such as lumbar laminotomy and discectomy. Complications and risks of lumbar laminectomy include nerve damage, bleeding, infection, and blood clots August 18, 2016 - I had a microdiscectomy laminectomy on my L4-L5 lumbar disc to relive chronic pain and some muscle weakness. This is an overview and chronicle of my recovery. Some History. May 1st, 2013 I had urgent lumbar laminectomy surgery to repair a herniated disc at my L5-S1 A lumbar laminectomy is performed for patients with symptomatic, painful lumbar spinal stenosis occurring at multiple (three vertebrae) levels of the spine. It is performed to remove the large, arthritic bone spurs that are compressing the spinal nerves. Post-Operative Care. Most patients are usually able to go home two to five days after surgery Sleep on either your back or side. Pillows may be used to help support your back. Place pillows behind your knees when lying on your back. Place pillows behind your back and between your legs when lying on your side. Bathing. The first 5 days after surgery, the incision area should remain dry and covered with the surgical dressing

For a traditional open back laminectomy you should expect to be in the hospital for 2 - 5 days. This time could be extended if complications such as bleeding or infection arise. Most patients will feel pain for the first few weeks after the surgery, but you will be provided with pain narcotics that should dull it Lumbar Laminectomy Surgery. To perform a lumbar spine laminectomy, the surgeon makes an incision down the center of the lower back. Then the surgeon moves the muscles to the side. Once the doctor reaches the spine from the back, he or she identifies each vertebra. The surgeon will probably take an X-ray during surgery to ensure that the correct.

A laminotomy can relieve pressure in your spinal canal and on spinal nerves. The word laminotomy is often used interchangeably with laminectomy. However, laminotomy surgery removes only a small part of the lamina, while laminectomy removes most of the lamina. Laminotomy is a common but major surgery with serious risks and potential complications A laminectomy performed as a minimal spinal surgery procedure is a tissue-preserving surgery that leaves more of the muscle intact and spares the spinal process. Another procedure, called the laminotomy, is the removal of a mid-portion of one lamina and may be done either with a conventional open technique or in a minimalistic fashion with the. LUMBAR LAMINECTOMY POST-OPERATIVE INSTRUCTIONS. 7-10 Days Post-Op Check Up. INCISION. You may shower and let the warm water run over the incision. If there is drainage, a dry gauze dressing may be applied. Do not apply any type of medication or ointment to your incision. This includes: cream, Neosporin, or peroxide A laminectomy is a surgical procedure used to increase the space within the spinal canal by removing the lamina from the vertebral arch, also known as decompressive surgery. The goal of a laminectomy is to enlarge the vertebral canal and relieve pressure on the spinal cord by removing the laminae and associated spinous processes within the.

Microdiscectomy and lumbar laminectomy are performed to help relieve pain, numbness and discomfort from pressure on nerves in the spine. With microdiscectomy, the patient is placed face-down and a tiny incision is made over the location of the herniated disc. The orthopaedic surgeon uses a retractor to remove parts of the lamina bone so that. Decompressive laminectomy is done to release pressure exerted on the roots of the nerves found on the lower back. The condition is mostly brought by old age. There are, however, other reasons your surgeon may suggest surgery. These include herniated discs, traumas, and tumors.In case you are going through persistent pain in your spine that interferes with your day to day activities, your.

The term back surgery can encompass any number of procedures. It is most typically used, however, in reference to discectomy, disc arthroplasty, spinal fusion, laminectomy and kyphoplasty. Microdiscectomy. Your spine is made up of a series of individual bones known as vertebrae. These bones fit together in a stack to create your spine Minimally Invasive Lumbar Laminectomy. see also Lumbar microendoscopic spinal decompression surgery. Minimally Invasive Lumbar Laminectomy via unilateral approach is one of the minimally invasive methods used for degenerative spinal stenosis. Bilateral decompression through unilateral approach is an effective method without instability effect, which provides sufficient decompression in the. Back surgery recovery time varies depending on the procedure. Recovery after a discectomy generally takes six to eight weeks, according to Theresa Marko, a New York City doctor of physical therapy with board certification in orthopaedic physical therapy. Bouncing back from laminectomy or fusion surgery, however, takes longer. These procedures. Lumbar laminectomy is a surgical procedure most often performed to treat leg pain related to herniated discs, spinal stenosis (narrowing of the spinal canal), and other related conditions. Stenosis occurs as people age and the ligaments of the spine thicken and surgery. Before Your Surgery Surgery patients will: Before having surgery on.

Back Surgery - Lumbar Laminectomy - YouTub

Laminectomy or fusion, which one is better? Let's investigate who is a candidate for laminectomy surgery, spinal fusion surgery, and what happens during each process. What is Laminectomy? Laminectomy is a surgical procedure that removes part of or all of a lamina from a portion of your spine to relieve pressure on your nerves Patients may go home the same day, as soon as one hour after surgery. Surgical time—Can be completed in as little as 30 minutes. Recovery—Typically about six weeks for full recovery; many are able to go back to work within a week and get back to the gym or and increase physical activity within two to four weeks. Minimally Invasive Laminectomy Our surgeons perform a lumbar laminectomy, a type of spinal decompression surgery, to relieve pressure on the nerves in the lower back, called the lumbar spine. At Atlantic Spine Specialists, Dr. Carl P. Giordano and Dr. Richard S. Nachwalter specialize in using minimally invasive techniques to perform this and other types of spine surgery HERE IS THE NEUROSURGEON'S SURGERY REPORT: Date of Operation: 7/21/20. Preoperative Diagnosis: Lumbar spinal stenosis on the left at the L4-5 level causing neuropathic pain down the left leg. Postoperative Diagnosis: Lumbar spinal stenosis on the left at the L4-5 level causing neuropathic pain down the left leg Continued Pain. One of the most common complications of any spinal operation involves the patient continuing to experience pain after surgery, according to the University of Maryland Medical Center 2. Although most lumbar laminectomy patients with leg pain feel better immediately, approximately 10 to 20 percent will continue to have problems.

Anterior Lumbar Interbody Fusion (ALIF) | Dr John Ferguson

Recovery After Lumbar Laminectomy (Open Decompression) for

A laminectomy, also known as a decompression surgery, is a surgical procedure that relieves pressure on the spinal nerves or cord. This is accomplished by removing the lamina, the back portion of the vertebrae that covers the spinal canal. Pressure on the spinal nerves and canal is commonly the result of bony overgrowths within the canal and. LUMBAR LAMINECTOMY / DISKECTOMY / FUSION POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 - 30 • TLSO - Per surgeon - Should never be required, but may be worn for comfort • Ambulation progression as tolerated - Use assistive device as needed (FWW, Cane) - Progress to treadmill when independen lumbar laminectomy physical therapy post op protocol protocol pphase 1hap p direct decompression by removal of the lamina at surgical level(s). includes foraminotomy for decompression of affected nerves may include removal of hardware if vertiflex device previously used more than one level - wearing brace for up to 4 weeks Diskectomy -- surgery to remove all or part of your disk. Foraminotomy -- surgery to widen the opening in your back where nerve roots leave your spinal column. Laminectomy -- surgery to remove the lamina, two small bones that make up a vertebra, or bone spurs in your back, to take pressure off your spinal nerves or spinal column

In addition to laminectomy surgery, spinal fusion is commonly performed to treat facet joint arthritis. The type of surgery required will depend on a host of factors, including the patient's age, medical history, and the exact details of the condition. Some patients respond better to vertebral fusions, but if the spinal canal has narrowed and. A posterior lumbar decompression surgery involves the removal of all the structures that are compressing the nerve root. This includes part of the lamina (laminotomy) or the whole lamina (laminectomy), ligaments, and new bone (osteophytes) Lumbar laminectomy is a surgery that is performed on the lower spine to treat conditions such as Spinal Stenosis, leg pain due to a herniated disc, and other similar conditions. During the surgery the spinal canal is widened, therefore relieving pressure on the spinal cord The mortality rate for a lumbar laminectomy is between 0.8% and 1%. Rates of complications depend partly on whether a spinal fusion is performed as part of the procedure; while the general rate of complications following a lumbar laminectomy is given as 6-7%, the rate rises to 12% of a spinal fusion has been done What happens during lumbar decompression surgery. If lumbar decompression surgery is recommended, you'll usually have at least 1 of the following procedures: laminectomy - where a section of bone is removed from 1 of your vertebrae (spinal bones) to relieve pressure on the affected nerve; discectomy - where a section of a damaged disc is.

Laminectomy for spinal stenosis, X-ray - Stock ImageBack & Neck Procedures | Dr

Lumbar Laminectomy And Fusion Dr

Spinal stenosis surgery may include one or more of the following: 3 . Discectomy: a procedure to remove a damaged disc between vertebrae of the spine. Laminectomy: a procedure to remove a portion of the vertebrae, especially if there is a bone spur. Foraminotomy: a procedure to widen the foramina, the openings in the vertebrae where the. Sometimes the doctors perform spinal fusion surgery to extract the spinal fluid. This will then help in stabilizing the spine while reducing back pain. But if an elderly person or an arthritic patient develops bony outgrowths, the surgeons have to surgically remove these bony parts, a process known as Laminectomy

A laminectomy removes areas of bone or tissue that are putting pressure on your spinal cord. Interspinous distraction is a new type of lumbar surgery for spinal stenosis. This technique involves making a small incision above your spine and placing a metal device, known as a spacer, between 2 vertebrae, so that they can't move onto the. Cervical, thoracic, or lumbar laminectomy other than for herniated disc: CPT codes covered if selection criteria are met: 63001: Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; cervical: 63003: thoracic: 6300 Laminectomy. Laminectomy is a type of open-back surgery to remove painful, overgrown parts of the vertebrae. Occasionally, certain parts of the vertebrae - the lamina - exert pressure on the spinal cord, causing shooting pain that can radiate from the back throughout the entire body. This may be due to bone spurs growing on the lamina, weakened. Lumbar Laminectomy is a surgical procedure performed on the lower spine to relieve pressure on one or more nerve roots. The procedure can be understood by breaking its name into its Latin parts. Lamina means a thin piece or plate and -ectomy means removal. The surgeon removes a section of the lamina to relieve pressure on the nerve roots

Responses were tallied for lumbar laminectomy, lumbar microdiscectomy, lumbar fusion, and anterior cervical discectomy with fusion. Results: the most common recommended time for return to golf was 4-8 weeks after lumbar laminectomy and lumbar microdiscectomy, 2-3 months after anterior cervical fusion, and 6 months after lumbar fusion A posterior lumbar laminectomy, which is also called a decompression, is done to treat pain caused by degenerative conditions in the lower back. Disc degeneration, bone spurs, and other conditions can cause narrowing and pressure on the spinal nerves (radiculopathy) exiting the spine. A laminectomy procedure removes part of the vertebral lamina.

Lumbar Laminectomy Complications & Surgery Recover

A laminectomy is a surgical procedure that creates space by removing a portion of the lamina, which is the back part of the vertebra that covers the spinal canal. This procedure is also known as decompression surgery. A laminectomy is typically performed to alleviate pain caused by spinal stenosis. With minimally invasive techniques, the. Finding the Right Laminectomy Surgeon. Finding the right spine specialist before undergoing minimally invasive laminectomy is key. Minimally invasive procedures overall are the fastest-growing segment of spinal surgery, yet, currently, only about 10% of spine surgeons are qualified to perform this type of procedure. Dr In some cases, minimally invasive lumbar laminectomy may not be the best option for surgical treatment. Some patients with scar tissue from previous surgery, spinal deformities, or excess obesity may benefit from traditional open back surgery instead. Not all patients and not all conditions can be treated via a minimally invasive approach

Lumbar laminectomy continues to be one of the most common lumbar procedures performed for spinal stenosis. According to the Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS), the annual estimate of laminectomy discharges averages around 34 discharges per 100,000 adults from 1998 to 2008.[] Mean total hospital charges have more than doubled from $14,308 in 1998 to. Degenerative Spinal Stenosis Lumbar Laminectomy Surgery buldging disc-laminectomy Lumbar Laminectomy in 2014 and Stem cell fusion with bone graft in 2016 L2-S1 trouble standing straight, I had a lumbar laminectomy and extension of lumbar fusion with hardware Post Laminectomy Healing and nerve healing Post Operative Pain After Total hip Replacemen Regular exercise to restore the strength of your back and a gradual return to everyday activities are important for your full recovery after low back surgery. Your orthopaedic surgeon and physical therapist may recommend that you exercise for 10 to 30 minutes, 1 to 3 times a day during your early recovery POST-OPERATIVE LUMBAR DISCECTOMY, LAMINECTOMY PROTOCOL Week 0 to 6: Patient Surgery Date Surgery Levels Date at 6 weeks Date at 12 weeks Information about your surgery One or more of the above procedures has been performed on your spine to relieve your symptoms. Post-operatively, you may still experience some of your pre

Endoscopic Lumbar Discectomy - YouTube

Laminectomy: Purpose, Procedure, and Risk

The recovery time for surgery involving the L4 and L5 vertebrae varies depending on the procedure, states Mayo Clinic. For laminectomy procedures, recovery can take as little as a few weeks. In cases requiring spinal fusion, recovery can take as long as six months. Proper patient recovery from back surgery involving the L4 and L5 vertebrae. Because of surgery-induced edema, the client is likely to experi-ence either the same pain or perhaps more severe pain in the pe-riod immediately after surgery. This pain usually persists for sev-eral weeks after surgery.In addition,many clients who have had a lumbar laminectomy have muscle spasms in the lower back, ab

Lumbar Spinal Stenosis with Degenerative Deformity

Lumbar Laminectomy Surgery UPMC Pittsburgh, P

Spine Center Atlanta has become a leading source for failed back surgery syndrome, including failed laminectomy of the back or neck. Drs. James L. Chappuis and Julio Petilon are recognized speakers and leaders in post-surgical pain, and with their team can provide effective treatment recommendations that are designed to eliminate the recurrence. Laminectomy is a back surgery, usually done for treatment of spinal stenosis. Spinal stenosis is a condition characterized by narrowing of the spinal canal resulting in impingement of the nerve roots causing a variety of symptoms including pain, numbness, tingling, and weakness which may or may not radiate down the lower extremities lumbar fusion L5-S1 and laminectomy sugery laminectomy and discectomy recovery time for cycling 47 Year female 120 Lbs. may get a L4 / L5 Fusion, decompression and 2 screws to correct L4 fracture. Spinal stenosis and nerve compression Movement after Spinal Fusion excersizes to do after fusion back surgery pain following spinal fusion. Back surgery is used to correct a physical deformity -- either to take pressure off a nerve root or the spinal cord, to stabilize an unstable part of that back that is causing pain, or to fix a deformity such as scoliosos. Two of the most common back surgeries are lumbar laminectomy and lumbar spinal fusion

I am a 50 year old female who had lumbar laminectomy at L3/4 eight weeks ago for lumbar stenosis and spondylolisthesis. The surgeon also performed a dynamic stabilisation at this level. As I understand it, this involves the insertion of a flexible and rod and screws, similar to fusion but allowing more flexion at this level while at the same. A laminectomy, also called decompression surgery, is a surgical procedure designed to relieve the pressure and pain on the spine. A lumbar laminectomy is focused on the lower back, or lumbar region. This region is made up of the five lowest vertebrae (L1 - L5) that are just above the base of the spine, and supports the bulk of the weight of. Lateral Lumbar Interbody Fusion (LLIF) This procedure, also known as lateral access spine surgery, is a minimally invasive surgery that accesses the spine from incisions on the side of the body. This procedure avoids separating the low back muscles, cutting bone, or moving aside blood vessels as required for other minimally invasive spine. Laminectomy. Back pain that interferes with normal daily activities may require surgery for treatment. Laminectomy is a type of surgery in which a surgeon removes part or all of the vertebral bone (lamina) to relieve compression of the spinal cord or the nerve roots that may be caused by injury, herniated disk, spinal stenosis (narrowing of the canal), or tumors A laminectomy can be performed as well to allow the surgeon to perform a discectomy procedure. If a laminectomy is being performed in the lower back it is known as a lumbar laminectomy or an open decompression. Spinal Laminectomy Procedure. There are multiple variations of a laminectomy surgery, some are quite invasive while others require much.

Microsurgery: Lumbar disk herniation L4 L5 - YouTubeClinical Gait Analysis on a Patient Undergoing Surgical

Lumbar Laminectomy Surgery For Back & Nerve Pain Relief

Surgery types. Discectomy/laminectomy Neck/upper back surgery—the bed head is elevated 20 to 30 degrees for 24 to 48 hours for swelling. Keep the knees bent to reduce strain on the spinal cord. Use a pillow under knees. Resume normal flat bed position ASAP or very slight elevation only Laminectomy is a back surgical procedure commonly performed on the cervical, thoracic or lumbar sections of the spine depending on the condition. Cervical, thoracic and lumbar laminectomy and foraminotomy procedures are often performed on those diagnosed with spinal stenosis. Also known as decompression, the surgical procedures remove a small.

Recovering from Sciatica Surgery: Open Spine vs

Lumbar laminectomy. This is the traditional approach, also called decompression surgery, where surgeons create space by removing the lamina - the part of the vertebra that covers your spinal canal Lumbar Laminectomy. Lumbar laminectomy, also known as decompression laminectomy, is a spinal surgery done to relieve excess pressure on the spinal nerve (s) in the lumbar (lower back) region. The term laminectomy originated from the Latin word 'lamina' refers to a thin plate and the word 'ectomy' means removal L4-5, L5-S1 Laminectomy and Spinal Fusion Surgery. Laminectomy, Illustration. Englewood, Colorado - Dr. Paul Elliott performs minimally invasive lumbar spine surgery on a patient at Swedish Medical Center. L4-5 and L5-S1 Disc Injuries with.