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Has anyone had a Laminotomy, NOT Laminectomy
Spine Health | Last Active: Mar 9 5:37pm | Replies (55)Comment receiving replies
Annie, I started my physical therapy within about a week after surgery. I had my surgeries at Mayo in Rochester so I saw my family doctor for post op visits and had a phone call with my surgeon about 6 weeks after surgery. I had an in-person visit about a year later with the surgeon. You can do your requested x-rays and/or MRI's if needed at your local hospital. My first post-op with my family doctor was about a month after surgery. If your surgery is done at Mayo, they will provide you with a phone number you can call to reach your surgeon's assistant to ask questions or report complications after your surgery. I traveled home the day I was released from the hospital. We stopped about every 1 1/2 to 2 hours on the way home so I could walk with my walker. My orders after the surgery said walking is adequate exercise. You need to have some form of strengthening exercise to complete your recovery process. If you choose not to exercise, less blood flow to the surgical site can prolong your healing process. My physical therapy focused on exercise to increase the core strength in my spine and lower body. I didn't start anything more strenuous until about a month after surgery. I started walking immediately, increasing my distance slightly each day. You will tire easily in the early days after your surgery. I would lay on my bed and listen to relaxing music or nature sounds and take a nap. Patients who listen to music before and after surgery show reduced pain scores, anxiety and need for pain relievers. I found it extremely relaxing, I slept well and I was off pain relievers within about 6-10 days.
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I'm trying to find out who knows what these numbers mean.
I feel at the end of my rope with people telling me what to do. Last night I had a excruciating leg cramp that last almost 4 hours. I believe it is from my continued degenerative stenosis. The neuro surgeon who would do a minimally invasive laminotomy said the below numbers are more important than the first listed numbers. I have Osteopenia in three places and Osteoporosis in 2 places. I had a friend who had a Laminectomy, also has Osteoporosis and is doing fine. Also the surgeon who warned me against surgery gave me no hope except is referring me back for pain management for the rest of my life. So I am not going by his recommendation. As far as he is concerned, my quality of life dosen't seem to matter nor my future if the stenosis keeps going, which it has.
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Region Area BMC BMD T-score Peak Z-score Age
cm2 g g/cm2 Reference Matched
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L1 11.46 7.84 0.684 -2.8 69 -0.8 88
L2 13.94 9.70 0.696 -3.0 68 -0.8 88
L3 14.35 10.84 0.756 -3.0 70 -0.7 91
L4 19.31 17.58 0.910 -1.4 86 1.0 113
L1-L2 25.40 17.54 0.691 -2.6 71 -0.6 92
L1,L3 25.81 18.68 0.724 -2.6 71 -0.5 93
L1,L4 30.77 25.42 0.826 -1.9 80 0.3 104
L2-L3 28.28 20.55 0.726 -3.0 69 -0.8 89
L2,L4 33.24 27.28 0.821 -2.3 76 -0.1 99
L3-L4 33.66 28.42 0.844 -2.3 77 0.0 100
L1-L3 39.75 28.39 0.714 -2.8 70 -0.6 91
L1-L2,L4 44.70 35.12 0.786 -2.3 76 -0.1 99
L1,L3-L4 45.12 36.26 0.804 -2.3 76 0.0 99
L2-L4 47.59 38.13 0.801 -2.5 74 -0.3 97
L1-L4 59.05 45.97 0.778 -2.4 74 -0.2 97
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Comparison With Previous Exams:
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Region Exam Age BMD T-score BMD Change BMD Change
Date g/cm2 vsBaseline vsPrev
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AP Spine (L1-L4)
01/03/2024 71 0.778 -2.4 10.1%* 13.3%*
07/22/2022 70 0.687 -3.3 -2.9% -2.9%
08/06/2020 68 0.707 -3.1
Total Hip(Right)
01/03/2024 71 0.646 -2.4 4.9%* -0.9%
07/22/2022 70 0.652-2.4 5.9%* 5.9%*
08/06/2020 68 0.615 -2.7
Femoral Neck(Right)
01/03/2024 71 0.515 -3.0 4.2% -1.2%
07/22/2022 70 0.521 -3.0 5.4% 5.4%
08/06/2020 68 0.494 -3.2
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*Denotes significance at 95% confidence level, LSC for AP Spine
= 0.022 g/cm2, LSC for Total Hip = 0.027 g/cm2
Follow up examinations must always be performed on the same DXA
machine to allow comparison.