Laminectomy

Question 1

Laminectomy

Answer 1

Removal of the vertebral spinous process to help relieve nerve root compression and give nerve more room

Question 2

s/sx Root compression

Answer 2

The 3 Ps
Pain
Paresthesia (numb/tingle)
Paresis (muscle weaknes)

Question 3

Laminectomy = Location

Answer 3

3 locations
-cervical (neck)
-thoracic(upper back)
-lumbar (lower back)

Question 4

Cervical

Answer 4

Innervates diaphragm & arms
- assess breathing
-assess arm function
-watch for pneumonia

Question 5

Thoracic

Answer 5

Innervates the gut/abdominal muscles
-Assess cough
-Assess bowels
-watch for pneumonia & paralytic ileus (paralyzed GI)

Question 6

Lumbar

Answer 6

innervates bladder & legs
-assess urinary retention/last void/ bladder empty
-assess leg function
-watch for urinary retention

Question 7

Post Op Laminectomy

Answer 7

1 answer is LOG ROLL
Mobilizing
-NO DANGLING
-no sitting for more than 30 mins
-supine to walking ASAP
-SITTING = BAD
-walking, standing, lying down =GOOD

Question 8

Anterior thoracic laminectomy

Answer 8

only one that requires chest tube

Question 9

Laminectomy w/ fusion

Answer 9

taking bone graft from iliac crest (hip) and spine.put in place so things are not bone to bone
2 Incisions
Hip -most pain, most drainage
Spine- risk of rejection
Both have equal risk of infection

Question 10

Temp restrictions

Answer 10

4 restrictions for 6 wks
-no sitting for 30 mins
-lie flat log roll
-no driving
-not lifting above 5 lg