Laminotomy

A laminotomy relieves a compressed nerve in the back of the spinal canal. By removing a small portion of the lamina, the bone that forms the back wall of the canal, the surgeon creates more room for the nerves. Our minimally invasive laminotomy is performed through a small incision, typically as a same-day procedure.

Model of the human spine and pelvis
Spine specialist pointing to a spine model with a pen

What Is A Laminotomy?

The spine consists of vertebrae stacked on top of each other, with cushioning discs between them. The back of each vertebra has a small bone called the lamina. Together, the laminae form the back wall of the spinal canal, where the spinal cord and nerves run.
 
When bone spurs, a thickened ligament, or disc material narrow the canal, the nerves can be compressed. A laminotomy opens a small window in the lamina to relieve that pressure, preserving more of the spine’s structure than a full laminectomy. It is a common treatment for spinal stenosis.

Conditions A Laminotomy Treats

Is A Laminotomy Right For You?

Our patient-centered care means a comprehensive evaluation before deciding on the most appropriate treatment. A review of your most recent MRI and health records helps our team determine the cause of your pain and the best course of action.
 
If you have been diagnosed with spinal stenosis, a herniated or bulging disc, or another obstructive spine condition, request a free MRI review to see whether a laminotomy is right for you.
Illustration of neck and back pain highlighted along the spine

How A Laminotomy Works

A minimally invasive laminotomy follows these steps:

  1. 1

    Anesthesia

    You are made comfortable for the procedure.

  2. 2

    A small incision

    X-ray guidance pinpoints the level so the incision can be small.

  3. 3

    Muscle-sparing access

    Muscles are gently moved aside rather than cut.

  4. 4

    Creating space

    A small portion of lamina, and any bone spur or thickened ligament, is removed to free the nerves.

  5. 5

    Closing

    The incision is closed and most patients go home the same day.

Frequently Asked Questions

What is a laminotomy?

A laminotomy removes a small portion of the lamina, the bone that forms the back wall of the spinal canal, to create more space and relieve pressure on the spinal cord or nerves.

How is a laminotomy different from a laminectomy?

A laminotomy removes only part of the lamina, preserving more of the spine's natural structure. A laminectomy removes the entire lamina.

What conditions does a laminotomy treat?

It treats nerve compression in the spinal canal from bone spurs, spinal stenosis, herniated or bulging discs, pinched nerves, and arthritis of the spine.

Is a laminotomy minimally invasive?

Yes. Our laminotomy is performed through a small incision with muscle-sparing techniques, typically as a same-day procedure.

What symptoms can a laminotomy relieve?

It can relieve weakness in the arms or legs, pain and stiffness when standing or walking, leg pain from stenosis, and balance problems caused by a compressed nerve.

How long is recovery?

Many patients walk the same day and resume light activity within days to a few weeks, with a gradual return to full activity.

Will I need a fusion?

Usually not. Because a laminotomy removes only a small portion of bone, the spine's stability is generally maintained.

How do I know if a laminotomy is right for me?

A comprehensive review of your most recent MRI and health records helps determine the cause of your pain and the best treatment. Request a free MRI review or call (321) 499-4646.

Symptoms A Laminotomy Can Relieve

When a nerve is compressed in the back of the spine, a laminotomy can relieve:

  • Weakness in the extremities, when a compressed nerve cannot send strong signals to the arm or leg.
  • Pain and stiffness in the lower back when standing or walking for too long.
  • Leg pain or heaviness from spinal stenosis.
  • Balance problems caused by leg pain and weakness.
  • Numbness or tingling along the compressed nerve.

Related Treatments

Minimally Invasive Vs. Open Surgery

The Minimally Invasive Advantage

How ultra-minimally invasive and endoscopic procedures compare with traditional open surgery, and why most patients recover faster.

Traditional open surgeryMinimally invasive / endoscopicOur specialty at Total Spine
IncisionA lengthy incision is required to expose the spine.A tiny incision, smaller than a dime, is used.
Muscle and soft tissueMuscle is cut and dissected to reach the spine.Muscle is preserved and gently moved aside, supporting a quicker recovery.
Hospital stayTypically an overnight or multi-day hospital stay.A same-day procedure; most patients return home within hours.
Blood loss and infection riskGreater blood loss and a higher risk of infection.Minimal blood loss and a lower risk of infection.
Postoperative painMore pain, often requiring stronger medication for longer.Markedly less pain for most patients, with lighter use of pain medication.
Return to daily activityA lengthy recovery, often weeks to months before normal activity.A faster recovery; many patients resume light activity within days.
ScarringLeaves a larger, more noticeable scar.Leaves only a small scar.

A minimally invasive laminotomy relieves nerve pressure with less muscle disruption and a faster return to everyday life than traditional open surgery.

Our Patients Stories

Hear our patients share their experience with us, All in their own words.

Why Choose Total Spine and Orthopedics

Expert, ultra-minimally invasive spine and orthopedic care, close to home.

  • Ultra-minimally invasive and endoscopic techniques

    We specialize in procedures performed through incisions smaller than a dime, sparing muscle and supporting a faster recovery.

  • Same-day, outpatient procedures

    Most patients walk in and return home within hours, rather than facing an overnight hospital stay.

  • Board-certified, fellowship-trained surgeons

    Our team includes early leaders in endoscopic spine surgery.

  • A complimentary MRI review

    Understand your diagnosis and options from a board-certified specialist before committing to any treatment.

  • Trusted by our community

    More than 1,100 patient reviews at a 4.6-star average, and over 50,000 patients treated.

  • A personalized treatment plan

    We complete a comprehensive evaluation before recommending the most appropriate procedure.

  • Comprehensive spine and orthopedic care

    From injections to advanced procedures, your full continuum of care is handled in one place.

  • Convenient locations across the Space Coast and Orlando

    Care close to home in Melbourne, Orlando (Lake Nona), and Titusville.

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