A revision laminectomy is sometimes necessary in the case that a disc herniates again after a microdiscectomy. Another condition that can necessitate a revision surgery is the continued collapse of the disc structure, or complications to higher or lower vertebral levels after a spinal fusion. The procedure is done either to remove further compression due to repeat herniation or as part of a larger procedure for spinal fusion. For more information about revision laminectomy in the lumbar spine, contact Dr. Chetan Patel at AdventHealth Medical Group Spine Health by calling Call407-303-5452.
Why Is Revision Sometimes Necessary?
Any time that only the herniated portion of a disc is removed, there is the chance it will herniate again later. This might be because the patient did not make necessary lifestyle changes, or it could be due to other factors. Another reason that a revision laminectomy is sometimes necessary is if the disc material continues to collapse after removal. While this is rare, it is a possibility with partial disc removal. Another reason is the regrowth of bone spurs within the vertebra after initial removal during the primary laminectomy. Finally, a revision surgery can be necessary if there are complications to the adjacent areas due to spinal fusion of vertebras. Fusion can create stress on adjacent sections because the fused section is no longer mobile.
What Is the Goal of Revision Laminectomy?
The goal of this procedure is to alleviate compression of spinal nerves and the spinal cord, or to treat stress on adjacent areas. If the disc herniates again, the material can press on the spinal nerves. If new bone spurs grow within the spinal canal, these can also create spinal compression.
How Does It Work?
Revision laminectomy is performed in the same manner as the primary procedure. If a minimally invasive technique is being used, a lateral incision will be made so that Dr. Chetan Patel can access the spine from the side. Using dilators, he will create a path to the vertebra by moving aside the muscle tissue. Once he has accessed the vertebra, the lamina will be recut and opened, allowing the surgeon to remove the herniated portion of the disc, remove the entire disc and perform spinal fusion via the installation of plates and screws, or remove new bone spurs that have formed within the spinal canal.
Is This Procedure Right for You?
Some patients who think they require a revision laminectomy are actually experiencing ongoing degeneration at adjacent sites. This is particularly common with patients suffering from degenerative disc disease, as it is impossible to determine by “pain location” alone where the problem lies. The only way to determine if you require revision surgery or a new surgery is to undergo a full evaluation and consultation.
For more information on revision laminectomy, spine fusion and other treatment options available to you, contact Dr. Chetan Patel at AdventHealth Medical Group Spine Health. Make an appointment by calling Call407-303-5452.