Lumbar Laminectomy — / Decompression

Ohio State University Wexner Medical Center · Dr. Jordan Hudson; Dr. Sean Meers; Dr. Andrew Grossbach MD; Dr. Jonathan Karnes…

Weight-Bearing

WBAT from POD 1; no formal WB restrictions; walking goal 30 min 2x/day Phase 1

Key Restrictions

No brace typically; no driving while on narcotics; no scar mobilization x 3 months; no BLTs >20 lbs x 3 months; no sitting >30-45 min; no stationary bike or rower; no lumbar hyperextension; no deep hip flexion/extension; NO ULTRASOUND (explicitly noted, differs from discectomy protocol); no submerging incision until healed

Timeline & Phases

3 phases: Phase 1 (POD 1-3 wks, home walking/ADLs), Phase 2 (3-6 wks, OP PT 2-3x/wk x 6-8 wks, 12-24 visits), Phase 3 (6 wks-3 months, progress stabilization and return to baseline)

Notes

.edu site; April 2022; virtually identical structure to OSU discectomy protocol with one critical distinction: ultrasound is explicitly contraindicated (NO U/S noted twice); same stabilization program (dead bug, bird dog, bridges, marches); ODI + FABQ at initial eval and 6th visit; walking goal 1 mile in 20 min at 6 wks; pedometer encouraged; same authorship team

Surgeon / Author

Dr. Jordan Hudson; Dr. Sean Meers; Dr. Andrew Grossbach MD; Dr. Jonathan Karnes MD; OSU Neurological Surgery / Orthopaedic Surgery

Published

April 2022