Re: Another New Twist!!
Hi Greg--A lami is what I'd have if I were having surgery since it is unclear how much of my stenosis is disk-generated at this point and how much related to bone and/or ligament. As you well know, the issue is what is the least invasive way to get to _enough_ decompression. I assume your doc feels only dealing with the disk will not help enough.
From what I've learned, there is a tremendous range of surgeries all of which are "laminectomies", depending on how much bone needs to be removed. I've also understood that, in some cases,
it is actually better to remove bone and not overly "mess with" the disk in the long run, if enough decompression can be achieved that way. Needless to say, it's trade-off with the potential for later instability, re-herniation, etc. that enter in. In many instances, the particulars of such surgeries cannot really be determined until once one is "inside" and sees the whole field.
I've also heard a very wide range of experiences in terms of recoveries from lamis--some people clearly get back very quickly; others take longer. Again, the usual variables apply. My best friend recently had one and his leg symptoms resolved almost immediately. He was in chronic pain, with weakness/numbness, etc..
As always, my best to you. If this is, indeed, what is indicated, your surgeon may be sparing you the need for further surgery by including laminectomy now.