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Laminectomy Risks Complications Non Surgical Decompression Decopression Back Pain Treatment Pian Lower Herniated Disk Buldging Lumbar Disc Degenerative Disease Facet Syndromes Spinal Stenosis Relieve Reducing Herniation Cauda Equina Syndrome Failed Surgery Ces Fbss Spine

The potential risks and complications with a laminectomy procedure include:
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Nerve root damage (1 in 1,000) or bowel/bladder incontinence (1 in 10,000). Paralysis would be extremely unusual since the spinal cord stops at about the T12 or L1 level, and surgery is usually done well below this level. *
1 to 3% of the time a cerebrospinal fluid leak may be encountered if the dural sac is breached. This does not change the outcome of the surgery, and generally a patient just needs to lie down for about 24 hours to allow the leak to seal. *
Infections happen in about 1% of any elective cases, and although this is a major nuisance and often requires further surgery to clean it up along with IV antibiotics, it generally can be managed and cured effectively. *
Bleeding is an uncommon complication as there are no major blood vessels in the area. *
In approximately 5 to 10% of cases, postoperative instability of the operated level can be encountered. This complication can be minimized by avoiding the pars interarticularis during surgery, as this is an important structure for stability at a level. Weakening or cutting this bony structure can lead to an isthmic spondylolisthesis after surgery. Also, the natural history of a degenerative facet joint may lead it to continue to degenerate on its own and result in a degenerative spondylolisthesis. Either of these conditions can be treated by fusing the affected joint at a later date.
General anesthetic complications such as myocardial infarction (heart attack), blood clots, stroke, pneumonia or pulmonary embolism can happen with any surgery. Although in the general population these complications are rare, laminectomy surgery for spinal stenosis is generally done for elderly patients and therefore the risk of general anesthetic complications is somewhat higher.
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