LUMBAR LAMINECTOMY INSTRUCTIONS
Call 913-955-3300 to make a follow-up appointment for 2 weeks.
Surgical procedure information can be viewed at: UnderstandSpineSurgery.com
Stenosis can occur in any portion of the spine and is caused by degenerative changes in the disc space, bones,
and ligament structures. As the degeneration occurs the space for the nerve roots becomes compressed.
Symptoms are related to the area of compression. In the lumbar area, the symptoms can range from pain,
numbness and tingling in both or one leg as well as difficulty walking distances, pain with walking may increase and
bowel or bladder difficulties.
Lumbar laminectomy is performed to remove the bone from around the compressed nerves. This may be performed
at one or more levels depending on the examination. The surgery takes 1 to 2 hours, depending on the levels
involved. The surgical incision is generally 2-4 inches in length and then the muscle is taken down along the bone
structure. The bone is removed and the nerve roots are exposed. The nerve roots are examined to ensure
adequate decompression. The muscle and tissue are closed and sutured over the spine and the incision is closed.
Dressing is placed.
Generally, you will be in the hospital overnight or for 1 day in order to increase your activity, teach you care of the
incision, home activities, and to adjust your pain medication before discharging you home. Rehabilitation is involved
to assist with teaching you post operative back education and assess any need for placement in an acute
rehabilitation program if indicated.
Please bring comfortable clothing to wear, pajamas of your choice, and shoes for walking on the unit. You may
dress the next day as tolerated. The dressing will be changed in the hospital. You may shower in 48 hours. Avoid direct water pressure on the incision area. No tub baths, hot tubs or swimming for at least 2 weeks, the incision needs to be well-healed with no drainage. The dressing can be left off. Cover if the staples are irritated by your clothing. If you notice the incision becomes red or swollen, abnormal drainage, or fever greater than 101.5, you need to call the office to be seen.
Activity is as you tolerate. Light activity around the house for the first few days; then set about a walking program
daily. Start slow and increase the distance on a weekly basis. Be consistent with activity throughout the week.
Walking daily is the best way to re-educate and strengthen your back. You should be back at your normal activity
level in 8-12 weeks. Participating in sports or in rehabilitation (Physical Therapy) will be discussed during your
recovery visits. Driving can generally be resumed in 1 week.
Avoid activity that puts you into a prolonged stooped position such as mopping etc. Lifting, pushing, pulling is
restricted to 10 lbs for the first 2 weeks. The muscles will be sore for the first 2-3 weeks. Use ice pack to the
incision 45 minutes every 4 hours for 72 hours then as need. You may use heat, Ben Gay or Icy Hot type products
as well, but only after the incision has healed. You can expect to have some discomfort in the back and legs as you
You will have a narcotic medication for pain and may also have a muscle relaxant. Anti-inflammatory medication,
such as ibuprofen, may be used if it is okay with your primary physician for short-term use only. The narcotic pain
medication will be weaned over the following weeks as you increase your activity and decreased pain is attained.
You should not require long-term narcotic pain medication. To avoid constipation, please drink plenty of fluids,
juices, and add stool softeners and laxatives as needed. Walking helps the bowel function by stimulation.
Smoking cessation information is available in the hospital. Smoking contributes to degeneration of the disc.
Smoking cessation is strongly advised.