Endoscopic Lumbar Laminotomy

Endoscopic Lumbar Laminotomy

An endoscopic laminotomy is a minimally invasive spinal procedure that could effectively treat your symptoms, whether they are from LSS or some other spinal condition, and provide you with much-needed relief. When you undergo an endoscopic laminotomy, you’ll be able to leave the surgical center the same day the procedure is performed. After being sedated, your skin is numbed, and a small incision no bigger than two centimeters is made in the target area. Generally, an X-ray taken ahead of time will allow your doctor to verify where this incision needs to be made.

During the procedure, the surgeon creates an opening of the lamina above and below the spinal disc to relieve nerve compression. If some of your pain is caused by a herniated disc, then the surgeon can also address this concern at the same time.
The lamina is part of the bony arch of the vertebra that protects the spinal cord from damage. Almost every one of us will experience spinal degeneration and has spinal stenosis, meaning narrowing of spinal canal from fattening (hypertrophic) spinal ligaments, bone spur (facet arthritis), or bulging or herniations with osteophytes. Spinal canal narrowing will put pressure on the spinal nerves, it can cause back pain that radiates down the lower leg, along with other symptoms.

Patients experiencing such symptoms may be offered this decompressive surgical solution. During laminectomy procedure the surgeon removes part of the lamina, fatty ligaments, bone spurs, and/or herniated disc materials, relieving pressure on the nerves by giving them more space within the spinal column.


  • What Conditions Can Endoscopic Lumbar Laminotomy Treat?

    • Spinal Stenosis
    • Bone Spurs
    • Herniated Discs
    • Facet Joint Disease
  • How Is an Endoscopic Lumbar Laminotomy Done?

    The patient is sedated with IV medication. After the skin is numbed, a small incision of 1-2 cm is made in the target area. Once the vertebrae is visualized, an x-ray may be taken to verify the target of surgery. An opening of the lamina above and below the spinal disc is created to relieve the painful nerve compression.

    During this procedure the surgeon is also able to see the facet joints that cause spinal nerve compression in neruroforamen or spinal nerve canal and perform foraminotomy to decompress spinal nerve roots. If a herniated disc is a part of pain sources, the surgeon will remove herniated disc (discectomy). With these endoscopic procedures, the patient is free to leave thel center on the same day.

  • What are the advantages of an Endoscopic Lumbar Laminotomy?

    Advantages of endoscopic lumbar laminotomy surgery include the following:

    • Minimally invasive or the currently least invasive
    • Short recovery
    • High success rates
    • Minimal to no blood loss
    • Local anesthesia
    • Preservation of spinal mobility
    • Small incision and minimal scar tissue formation
    • Same day procedure with no hospitalization (outpatient procedure)”

Meet our Doctors