Laminectomy- surgical excision/removal of a part of posterior arch of vertebra and removal of

protruded disc. To relieve compression of spinal nerve.

- Nursing interventions post op

1.Position: lower spine fusion- flat on bed for the first 12 hours, then may elevate head of bed 20-30
degrees.

a. Cervical spine fusion-slightly, elevate head of bed assist with ambulation.

2. Usually out of bed(OOB) 3-4 days post op, apply brace before OOB

3. Provide comfort- patient my have considerable pain from graft

site

4. Advise client that brace will be needed for 4 months and corset for 1 year- no
bending,stooping,lifting for prolongrd periods for 4 months.

-Microdiscectomy: Removal of herniated or extruded fragments of intervertebral disk material

Partial laminectomy or laminotomy: Creation of a hole in the lamina of a vertebra

Foraminotomy: Removal of the intervertebral foramen to increase the space for exit of a spinal nerve,
resulting in reduced pain, compression, and edema.