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Lumbar Laminectomy







A lumbar laminectomy is also known as an open decompression and typically performed to alleviate pain caused by neural impingement that can result from lumbar spinal stenosis. A condition that primarily afflicts elderly patients, spinal stenosis is caused by degenerative changes that result in enlargement of the facet joints.

Procedure for Lumbar Laminectomy

The lumbar laminectomy (open decompression) differs from a microdiscectomy in that the incision is longer and there is more muscle stripping. • First, the back is approached through a two-inch to five-inch long incision in the midline of the back, and the left and right back muscles (erector spinae) are dissected off the lamina on both sides and at multiple levels. • After the spine is approached, the lamina is removed (laminectomy), allowing visualization of the nerve roots. • The facet joints, which are directly over the nerve roots, may then be undercut (trimmed) to give the nerve roots more room.

The Aging Process

As a person ages, the skin loses some of its natural elasticity and the muscles gradually weaken. The aging process often has a pronounced impact on the abdominal region, resulting in a flabby, sagging midsection. For some, the loss of definition in the stomach area is a source of self-consciousness, as they begin to appear older and less fit than they feel. In such cases, a tummy tuck can have a rejuvenating effect on the entire body.

Genetics

The overall shape of one's body and the areas where pockets of fat tend to accumulate are largely determined by genetics. For some people, the bothersome flab that gathers in the abdominal region may not be reflective of their true level of activity and fitness. Even a person in his or her 20s, 30s, or 40s may be genetically predisposed to stubborn abdominal roundness; fortunately, plastic surgery can address this.

Traditional Tummy Tucks

Traditional tummy tucks are the most commonly performed type of tummy tuck surgery. They involve the creation of a hip-to-hip incision, as well as incisions around the belly button. Because they address the patient's entire abdominal area, they often involve moving the belly button to ensure natural looking results. Traditional tummy tucks are commonly combined with abdominal liposuction.

Mini Tummy Tucks

Mini tummy tucks (also called partial abdominoplasties) are intended for patients who are within 10 percent of their ideal body weight and are content with making alterations only to the part of the abdomen that is below the navel. Mini tummy tucks require only a single small incision. They usually do not involve repositioning the navel. Partial abdominoplasties result in less dramatic changes to the appearance of the abdomen.

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