Surgery for spinal stenosis Most patients with spinal stenosis respond well to non-surgical treatments (such as medication), so you may not need to undergo an operation. However, there are situations in which you may prefer to have surgery by Spine Specialist Nyc: • has tried non-surgical treatments that have not been successful; • He has suffered intense pain for a long time; • suffers from radioculopathy, a medical term used to describe pain, numbness and tingling in the arms and legs; • He has lost sensation in his arms or legs; • The motive power in your arms or legs has decreased; • He has lost toilet training. One of the main objectives of Spine Surgery New York is to free the area for the spinal cord and / or the nerve roots. This is called decompression. By giving more space to the spinal cord and nerve roots to pass, the surgeon hopes to reduce the pain caused by the inflammation in the nerves. Another purpose of Spine Surgery Nyc is to increase the motive power of the arms or legs. If you have lost feeling in your arms or legs, the surgeon will try to restore it. In general, Orthopedic Back Specialist Near Me use two surgical techniques for spinal stenosis surgery: • Decompression, where the tissue that oppresses the nervous structure is extracted, making more space in the vertebral canal (for the spinal cord) or in the foramen (for the nerve roots); Y • Stabilization, where you try to limit the movement between vertebrae. Decompression surgery To remove tissue that puts pressure on a nerve, the spine surgeon can perform one of the following types of surgery: Foraminotomy: If a part of the disc or a bone spur is pressing on a nerve where it leaves the vertebra (through an exit called foramen), a foraminotomy can be done. Otomía means "to make an opening". Therefore, a Foraminotomy is to enlarge the opening of the foramen so that the nerve can exist without being compressed. Laminectomy: on the back of each vertebra, there is a bone plate that protects the spinal canal and the spinal cord that is called lamina. You may be oppressing your spinal cord and that is why the surgeon can make more space for the spinal cord by removing part or all of the lamina. Laminotomy: Similar to foraminotomy, a laminotomy enlarges an opening, this time in the bone plate that protects the spinal canal and the spinal cord (the lamina). The sheet may be pressing on a nerve; the surgeon can make more space for the nerves with a laminotomy. Stabilization Surgery Not all people who undergo spinal stenosis surgery will need stabilization, also called spinal fusion. It is particularly useful in cases in which one or more vertebrae have slipped from their correct position, which causes the instability (and pain) of the spine. The need for stabilization also depends on the number of vertebrae in which the surgeon needs to work. For example, if the surgeon needs to remove the lamina in multiple vertebrae, the spine will be unstable without these structures. You will need to undergo a spinal fusion to stabilize the spine.