Kraus Back & Neck Institute Spine PainPain Treatment - Kraus Back & Neck Institute Kraus Back & Neck Institute : 281.446.3876 (281.44.NEURO)
Applying Science to the Art of MedicinePain Treatment - Kraus Back & Neck Institute
At the Kraus Back and Neck Institute (KBNI), we specialize in non-surgical as well as surgical treatments of Back and Neck Pain.
Relief from Spine PainPain Treatment - Kraus Back & Neck Institute

Surgical Procedures

Lumbar Laminectomy

Lumbar laminectomy is a surgical procedure to relieve the pressure over the spinal nerves which results in pain and numbness in the legs. The narrowing of the spinal canal can occur either due to wear and tear or degenerative changes of the different parts of the spine. This results in a condition known as spinal stenosis. Laminectomy involves the complete removal of the lamina, a small bony plate covering the spinal canal. Laminectomy is another spinal decompression surgical procedure in addition to foraminotomy and facetectomy.

The spinal nerves may be compressed due to following reasons:

  • Age related wear and tear of the spine
  • Excessive stress and strain causing weakening of the spinal disc
  • Abnormal bulging or even rupture of the intervertebral disc into the spinal canal
  • Degenerative changes such as bone spur formation around the facet joints or along the edges of the vertebrae

The symptoms of spinal stenosis and nerve compression include back pain, leg pain, leg numbness and difficulty in walking.


Lumbar laminectomy involves the following steps:

  • The procedure is conducted under general anesthesia
  • The patient is placed, facing downward, in a special frame
  • This frame is designed to relax the abdomen to prevent blood loss as well as provide more space for surgery
  • Fluoroscopy is used to identify the positioning of the incision
  • An incision is made through the skin, over the back, to approach the spine
  • The muscles are retracted with the help of a retractor
  • The bony projections present on each side of the vertebra and the lamina are removed by cutting along the inner edge of the facet joint until the pedicle bones are reached
  • A small portion of the ligamentum flavum, present between the lamina bones and the spinal cord, is also removed
  • Removal of this ligament exposes the nerves present in the spinal canal
  • Soft tissues present around the spinal nerves are carefully removed with small cutting instruments
  • Any bone spurs or intervertebral disc fragments present near the nerves, are also removed
  • All of these surgical interventions help in relieving the pressure over the spinal nerves, present in the spinal canal
  • Finally the muscles and soft tissues are repositioned and the wound is sutured

Post operative care

Generally patients are discharged home on the same day of the surgery. Patients are instructed to move their back carefully and avoid strain for the next few days. Other post-operative instructions include:

  • Avoid driving for at least 2-3 weeks
  • Patient can perform light work after 4 weeks
  • Avoid heavy work for at least 2-3 months
  • Physical therapy should be started after 3-4 weeks

Risk and complications

There are always some complications associated with any major surgery. Some of the common complications associated with lumbar laminectomy include:

  • Complications related to anesthesia
  • Conditions such as thrombophlebitis
  • Infection
  • Damage to the spinal nerves
  • Persistent pain
  • Spinal segments instability
Spine Pain - Kraus Back & Neck Institute
Causes of Pain - Kraus Back & Neck Institute
Pain Treatment - Kraus Back & Neck Institute
Surgical and Nonsurgical Options - Kraus Back & Neck Institute
Pain Treatment Specialist - Kraus Back & Neck Institute
Gary Kraus, MD - Back & Neck Institute
Masaki Oishi, MD
Featured Treatment Option - Kraus Back & Neck Institute
Minimally Invasive Spine Surgery - Kraus Back & Neck Institute
MISS techniques reduce the need for large incisions, muscle cutting, and a long period of recovery.
Multimedia Patient Education - Kraus Back & Neck Institute
Patient Forms - Kraus Back & Neck Institute
Request an Appointment Online - Kraus Back & Neck Institute
Online Videos - Kraus Back & Neck Institute
3101 College Park Drive, The Woodlands, TX 77384      MAP
21155 Southwest Freeway, Richmond, TX 77469      MAP
12121 Richmond Ave., Ste. 324 Houston, Texas 77082      MAP
3391 West Park
Houston, Texas 77005     MAP
Professional Building III, 915 Gessner,
Ste. 360
Houston, Texas 77024     MAP
8901 FM 1960 Bypass, Ste. 304
Humble, Texas 77338     MAP
1331 West Grand Parkway North Suite 320
Katy, Texas 77493       MAP
Facebook Twitter YouTube
Bookmark and Share
Your Practice Online