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Bilateral Laminotomies via One-sided Approach

Why choose San Jose Neurospine for Minimally Invasive Spine Surgery?

  • 1/2 inch incision
  • Board Certified Neurosurgeon
  • More than 2000 successful cases
  • Same day discharge
  • Northwestern/UCLA Trained
  • Minimal post-op pain
  • Quick Recovery
  • Over 90 percent success rate
  • Advanced Technology

Stenosis is a condition that can develop as a person ages, particularly in those over 50. It is characterized by a narrowing of the spinal canal, which places pressure on the spinal cord and nerves, because there is not enough room for them. It resembles placing a ring on your finger.>If the finger becomes injured or inflamed, the ring constricts and causes pain. The pain caused by stenosis is typically focused in the low back area and can shoot down the legs and flare up after walking or exercising.

If surgery is required to treat this condition, minimally invasive surgery may be an option. San Jose Neurospine avoids traditional open laminotomies which are far too destructive to surrounding tissues and may lead to potential instability.

A unilateral decompressive laminotomy is carried out on the side of the overgrowth. The lamina above and below the narrowing may be removed partially or completely.

Using a minimally invasive laminotomy, the location of the incision is often established by an intraoperative X-ray, using fluoroscopy. A skin incision about 1 inch in length is made to one side of the middle of the back at the surgical level. Dilators are placed sequentially to split the muscle down to the lamina, the back part of the spine.

A retractor is then placed to hold the muscle tissue back and allow surgical access to the spine. Using a microscope, soft tissue is removed and the bone exposed. Use of a microscope improves the lighting and vision in the surgical area, making the surgery more precise and accurate.

Specially designed surgery instrumentation is then used to remove bone spurs and the lamina on the side of the approach. This is referred to as a lumbar laminotomy or lumbar decompression. The table is then tilted and the spinous process undercut. The anterior portion of the lamina on the opposite side may then be removed. The ligament under the bone is opened and removed using special instruments. The disc can also be inspected.

Minimally invasive lumbar laminotomy generally involves smaller incisions, less pain following surgery, and less blood loss than traditional open laminotomy. Recovery is often faster than with a traditional approach.

Many patients with spinal stenosis are advanced in age. Minimally invasive lumbar laminotomy is easier to recover from than a traditional approach.

In most cases, a minimally invasive laminotomy is performed as an outpatient procedure or 23 hour stay.


San Jose Neurospine Treatment Philosophy

  • We understand the negative impact chronic neck or lower back pain could have on quality of life. We are fully aware that these conditions cause a significant amount of suffering for our patients. We also understand the significant fear and anxiety most patients have about the prospects of having to undergo spinal surgery
  • We do NOT believe in conventional OPEN spinal surgery techniques because they are too invasive and the recovery is too prolonged
  • We are STRONG believers in MIS Surgery Techniques and we possess world class expertise in this field
  • We believe that the results with MIS surgery are far superior to those with open spine surgery
  • We believe the overwhelming majority of spinal conditions could be treated effectively through tiny incisions using endoscopic techniques
  • We believe in muscle and soft tissue sparing surgery techniques
  • We believe that patients recover much faster when MIS surgery techniques are employed as opposed to open surgical techniques
  • We believe in consistently maintaining an obsession with achieving the very best patient outcomes and our safety record is second to none nationwide.
  • We believe in preserving spinal motion whenever possible
  • Our core purpose is to return our patients back to life and activity utilizing highly sophisticated and advanced minimally invasive surgical techniques. The surgery is only the means to the end.


We have changed the lives of thousands of patients using these minimally invasive techniques. Learn more about the patient’s experiences by watching their video testimonials below.







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