Most experts recommend that people with spinal stenosis try nonsurgical treatments before choosing surgery.
Surgery for lumbar spinal stenosis is most likely to relieve pain, numbness and weakness that are mostly in your legs. Surgery may not work as well for relieving pain that is mostly in your back.
Surgery is usually effective if you have severe leg pain and numbness and you have not been able to move around well for a long time. But in some cases, the symptoms return after surgery. It is also possible that nerve symptoms, including numbness and clumsiness, may not be relieved or may return.
After a laminectomy and fusion, spinal stenosis may develop directly above or below the surgery site. Repeated surgeries for spinal stenosis increase your risk of complications and instability in the spine.
Age should not be a factor in deciding whether to have decompressive laminectomy. But if you have other medical conditions that will make this procedure and follow-up rehabilitation less successful, surgery may not be recommended.
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