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The facet joints were carefully preserved. The interlaminar area was cleared of soft tissue exposing the ligamentum flavum. Lumbar neural decompression was performed by partial laminectomy, partial facetectomy, partial foraminotomy of the stenosed levels. The pars interarticularis was identified and carefully preserved. Ligamentum flavum portions of the anterior facet were resected as necessary to effect neurologic spinal stenosis decompression. At the end of the decompression portion of the procedure the neural elements were ree and clear of compression and completely mobilized well and the foramina were free and clear of compression or obstruction. 

1. what does this all mean? and 2. 8 days post op, back is very stiff, while both arms feels tingling, cold fingers on and off. Feel very tender around incision and low back. 

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Hello.

It appears that you underwent a surgical procedure called lumbar neural decompression to address spinal stenosis. Here's a breakdown of the details mentioned:

  1. Partial laminectomy: This involves the removal of a portion of the lamina, which is the bony structure that covers the spinal canal, to create more space for the neural elements (nerves).

  2. Partial facetectomy: This involves removing part of the facet joints, which are located between adjacent vertebrae, to relieve compression on the nerves.

  3. Partial foraminotomy: This involves enlarging the neuroforamen, which are the openings through which the nerves exit the spinal canal, to alleviate compression or obstruction.

  4. Pars interarticularis: This is a small region of the vertebra that connects the facet joints, and it was preserved during the procedure.

  5. Ligamentum flavum: This is a ligament located in the spinal canal, and portions of it were resected to decompress the neural elements.

Overall, the goal of the procedure was to relieve pressure on the nerves in the lumbar region by removing or modifying structures that were causing compression or narrowing of the spinal canal or neural foramina.

Postoperative stiffness and tenderness around the incision site are common after surgery, but they should be monitored by your medical team. Tingling and cold fingers could be related to various factors, including the surgery itself, changes in blood flow, or nerve irritation.

Hope this will help!

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