I have had two microdiscectomys one with laminotomy and one with laminectomy. After second surg. pain gone completely for four months and then suddenly returned. Am I a canidate for x-stop devise with the laminectomy? Thanks
The procedure you underwent sounds like a discectomy. The term laminotomy simply means a removal of a small portion of the lamina. Laminectomy means removal of the entire lamina. In either case, a discectomy can be done at the same time. This means that if you had a herniation of the disc, the herniated fragment is removed to decompress the nerve. Since your pain has returned, most likely you have yet another herniation called a recurrent herniation.
There is another possibility however. If you have developed a collapse of the foramen (the bony area where the nerve exist out of the spine), your pain can recur. In this case, it is the bone of the vertebra that is compressing the nerve and not the disc herniation.
A good MRI and standing X-rays can reveal what the pathology is. A nerve block can then confirm the diagnosis. Repeat surgery might need to include a fusion of the area. Don’t be too concerned with a fusion though. If the nerve root has been compressed three times, a fusion of this area is needed to protect the nerve from any further damage as chronic nerve pain is no fun and hard to treat.
The X-Stop device is designed for a completely different problem. If you had spinal stenosis (narrowing of the spinal canal), and felt better bending forward (this action opens the canal making more room for the nerves), then you might be a candidate for an X-Stop. However, your problem seems to be the disc herniation compressing the nerve root. This will be made worse with the X-Stop. Also, you have had a laminectomy in a prior surgery. The lamina needs to be intact for the X-Stop to work.