====== 🧠 Decompression ====== **Decompression** refers to: > **A surgical or non-surgical intervention aimed at relieving pressure on neural structures**—such as the spinal cord, cauda equina, or nerve roots—by removing or reducing the source of compression. ===== 🔍 Indications in Spine Surgery ===== Decompression is commonly performed to address: * Lumbar spinal stenosis * Cervical or thoracic myelopathy * Herniated discs with radiculopathy * Epidural hematoma or abscess * Tumors causing mass effect ===== 🛠️ Common Decompression Techniques ===== ^ Procedure ^ Target Structure ^ Approach ^ | **Laminectomy** | Spinal cord / cauda equina | Posterior | | **Discectomy** | Nerve root | Posterolateral or anterior | | **Foraminotomy** | Exiting nerve root | Posterior | | **Endoscopic decompression** | Dural sac or nerve root | Minimally invasive | | **Craniotomy for tumor** | Brain / cranial nerves | Intracranial | ===== 🎯 Goals ===== * Relieve neurological symptoms: pain, weakness, numbness, or claudication * Prevent progression of neurological deficits * Improve function and quality of life ===== ⚠️ Potential Complications ===== * Dural tear or CSF leak * Iatrogenic instability (if over-resection) * Incomplete decompression * Postoperative infection or hematoma ===== 🗯️ Example ===== > “The patient underwent lumbar decompression for severe spinal canal stenosis.”