Spinal Decompression Surgery

Initially, you will meet with one of our spinal consultants. If you haven’t already received a confirmed diagnosis, they will gather your medical history, perform a physical examination, and refer you for an MRI scan of your spine. Additionally, you may need to undergo some blood tests.

If your doctor recommends decompression surgery, they will explain the potential risks of lumbar decompression and provide details about the procedure.

If you choose to proceed with the surgery, we’ll assist you in getting ready, but it’s also important to maintain a healthy diet beforehand and quit smoking if possible.

We will perform several pre-operative tests, including an MRSA screening. You will receive specific antibacterial soap and lotions to use in preparation for the procedure, which will help minimise the risk of contracting MRSA.

If you are taking blood thinners, such as Warfarin or aspirin, inform your doctor immediately, as you may need to stop or adjust your dosage at least a week before the surgery. Your doctor will provide specific instructions if this applies to you. Additionally, be sure to mention if you are taking nonsteroidal anti-inflammatory drugs like ibuprofen.

Do not eat or drink anything from midnight on the day of your surgery, including water, chewing gum, and hard candies. On the morning of your surgery, brush your teeth using only toothpaste. If you are on any prescription medications, bring them to the hospital with you. Your doctor will advise whether you can take them with a sip of water before your surgery or if you should wait until afterward.

On the day of your surgery, it’s advisable to wear loose, comfortable clothing.

Upon your arrival and once you’re settled in your room, a nurse will assist in preparing you for surgery. This includes monitoring your vital signs and reviewing your medical history, current medications, and emergency contact information.

Upon your arrival and after settling into your room, your doctor will review the procedure with you once more and ask you to sign a consent form for the surgery.

Initially, an intravenous (IV) line will be inserted into a vein, usually in your arm or hand, allowing the surgical team to administer medications and fluids efficiently. Monitors will also be attached to ensure your safety throughout the procedure.

As with any spinal surgery, lumbar decompression surgery begins with the administration of general anaesthesia, ensuring you remain asleep during the operation. Typically, you will be positioned face-down on a curved mattress, providing the surgeon with optimal access to your spine.

The surgeon will create a vertical incision over the specific area of the spine that needs treatment. The size and placement of this incision will vary depending on the specific area being treated and the complexity of the surgery.

The muscles will be gently moved aside to expose the spine. With a clear view, the surgeon will address the source of compression. During a laminectomy, any bone or tissue exerting pressure on the spinal cord and nerves will be removed, and the nerve will be repositioned towards the centre of the spinal column.

For a discectomy, the surgeon will access the bulging disc and remove enough of it to alleviate pressure on the nerves.

If foraminotomy is being performed, the surgeon will widen the spinal foramen to relieve pressure on the nerves by removing bone or tissue constricting the passageway.

To conclude, the incision will be closed with stitches or staples, and you will be transferred to the recovery area. There, specialised staff will monitor your vital signs, such as blood pressure, heart rate, and oxygen levels, as you awaken from anaesthesia.

Once we are confident in your progress, we’ll transfer you to your private room to begin your recovery. We encourage movement starting the day after your surgery, with guidance from our physiotherapists and an assessment by an occupational therapist.

In the initial weeks following your procedure, we will schedule regular physical therapy sessions. Our hospital boasts an excellent on-site therapies department to facilitate your optimal recovery, allowing you to return to enjoying life swiftly. It’s normal to feel generally sore and fatigued for a few weeks post-surgery, and this may last up to six weeks.

Upon returning home, it’s crucial to take things slowly at first and gradually increase your activity level each day. Assistance at home is typically necessary for at least the first week after surgery.

Adhere to the exercise regimen recommended by your physiotherapist and avoid sitting or standing in the same position for more than 15-20 minutes at a time, as this can lead to stiffness and discomfort.

Stitches

Deep stitches beneath the skin will dissolve naturally and do not require removal. Non-dissolvable stitches or staples will need to be removed five to ten days after your surgery. Before you leave the hospital, you will receive an appointment for their removal.

Your stitches will be covered by a simple adhesive dressing, similar to a large plaster. Take care not to get this dressing wet while washing. After your stitches are removed, you will not need a dressing and can bathe and shower.

For a faster recovery, it’s important to follow the advice of your surgeon.