A laminotomy is an orthopaedic neurosurgical procedure that removes part of a lamina of the vertebral arch in order to decompress the corresponding spinal cord and/or spinal nerve root.

This was originally performed as a hemilaminectomy, consisting in the removal of either the left or right half of the lamina, but is now more commonly carried out as the removal of a portion of both sides of the lamina (while retaining the rest to preserve vertebral stability as much as possible). Laminotomy is also often accompanied by facetectomy.

A laminectomy is a surgical procedure that removes a portion of the vertebral bone called the lamina. At its most minimally invasive, the procedure requires only small skin incisions. The back muscles are pushed aside rather than cut and the parts of the vertebra adjacent to the lamina are left intact. Recovery occurs within a few days.