Methods of treatment for radiculopathy include conservative methods like rest, manipulation, NSAIDS, opioids and surgeries like laminectomy,
laminotomy and fenestration procedures.
Minimally invasive techniques such as tubular unilateral
laminotomy for bilateral decompression (ULBD) have been shown to provide comparable outcomes with open techniques with less overall morbidity.
Keywords: Lumbar vertebrae, Spinal stenosis,
Laminotomy, Laminectomy, Surgical decompression, Magnetic resonance imaging.
Nakamura, "The influence of preoperative spinal sagittal balance on clinical outcomes after microendoscopic
laminotomy in patients with lumbar spinal canal stenosis," Journal of Neurosurgery: Spine, vol.
Shuster, "Rates of lead migration and stimulation loss in spinal cord stimulation: a retrospective comparison of
laminotomy versus percutaneous implantation," Pain Physician, vol.
A posterior approach with posterior laminectomy was performed in most cases, while in the last few years posterior
laminotomy was used in some of them (see below).
Nakai, A cadaveric study on the stability of lumbar segment after partial
laminotomy and facetectomy with intact posterior ligaments," Journal of Spinal Disorders, vol.
The patient was operated on for D12-L1
laminotomy and en bloc resection of the lesion.
Leheta et al., "Outcome after lessinvasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral
laminotomy, bilateral
laminotomy, and laminectomy," Journal of neurosurgery.
A unilateral
laminotomy and partial facetectomy were performed on the side consistent with the patient's symptoms or anatomical abnormalities.
This new code covers endoscopic decompression of the spinal cord, nerve root(s), including
laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar, and will be enforced as of January 1st, 2017.
During this procedure, a multilevel
laminotomy is performed from the L2-S1 level, the cauda equina is exposed and the dorsal root is separated from the ventral root.