Value

This is a microsurgical procedure for larger herniated discs in the lumbar spinal column region in combination with bony constrictions of the spinal nerve. The laminotomy is a gentle procedure with minimal risk of surgical-induced instability.

Advantage

This is a gentle procedure that usually requires only a brief inpatient stay. Through the mechanical removal of the herniated disc and the additional elimination of the bony constrictions of the vertebral canal, the pinched spinal nerve is immediately relieved, so that usually a quick degeneration of pain and paralysis is achieved.

Follow-up

For three to four weeks following the operation, the patient wears a specially-formed and comfortable plastic corset. A specialized physiotherapy program should begin two weeks after the procedure. Special attention is given to isometric muscle-building, as well as posture and movement training (back-training school).

Ability to work

Office work and light physical activity are possible after approximately three weeks. Physically strenuous activity should be avoided for approximately six weeks, and then only gradually reintroduced.

Sports

Swimming is possible after approximately three weeks; bicycling in an upright position after four weeks; jogging on soft ground after five weeks at the earliest. Depending upon their degree and type of intensity, all other types of sport can gradually be reintroduced after six weeks.

Results

In concordance with international publications, a success rate of 80 to 85 percent is to be expected.

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