What is endoscopic laminectomy?
A laminectomy removes part or all of the lamina, the bony roof of the spinal canal. An endoscopic approach uses a camera and specialized instruments through small incisions. Thickened ligament or other tissue contributing to nerve compression may also be removed.
Who may be considered?
It may be considered for selected patients with spinal stenosis and symptoms such as leg pain, numbness or reduced walking tolerance. The decision depends on symptoms, examination, imaging, prior treatment and spinal stability.
What to expect
The amount of decompression and the surgical approach are individualized. The care team explains anesthesia, preparation, transportation and the recovery plan. Walking and other activities are increased as directed after the procedure.
Benefits and considerations
The goal is to relieve pressure on nerves and improve function. Outcomes vary, and an endoscopic approach is not suitable for every patient. Risks include infection, bleeding, spinal-fluid leak, nerve injury, persistent symptoms and spinal instability. Some patients need a different procedure or additional treatment.