Laminectomy and Spinal Cord

Question 1

“Lamina” “Ectomy”

Answer 1

Vertebral spinous processes
Removal of

To treat nerve root compression

Question 2

S + S of nerve root compression

Answer 2

Pain, paresis (muscle weakness) paresthesia (numbness and tingling)

Question 3

Paresis

Answer 3

Muscle Weakness

Question 4

Paresthesia

Answer 4

Numbness and Tingling

Question 5

Locations - Carvica (cervical), thoracic, lumbar

Answer 5

neck, upper back, lower back

Question 6

Pre-op assessments: cervical, thoracic, lumbar

Answer 6

diaphragm and arms (breathing, breathing pattern)
Cough and bowel sounds
Bladder (voiding patterns) leg pushes

Question 7

Post-op care

Answer 7

Anything spinal, log roll your pt
Limit sitting 30 mins
Cervical (watch for pneumonia)
Thoracic (watch for pneumonia/paralytic ileus (bowel paralysis)
Lumbar (watch for urinary retention)

Question 8

which site has the most problems post op? (paim, bleeding, infection)

Answer 8

hip incision (for infection and rejection)