Step by step how to perform a lumbar laminectomy
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- Опубликовано: 26 июн 2024
- **CLICK SHOW MORE FOR IMPORTANT ADDITIONAL DETAILS**
Hello friends, today I'm bringing you a video overview of the lumbar laminectomy (or decompression). This is one of the most common procedures I perform in the lower back to remove compression off of nerves to improve pain.
I'm a board certified orthopedic spine surgeon proudly serving the people of the Bradenton/Sarasota/Lakewood Ranch, FL area in a multi-specialty orthopedic group called 360 Orthopedics (www.360-orthopedics.com).
Timestamps:
00:00 - Intro
00:48 - Anatomy and Overview
05:52 - Surgical Procedure Steps
12:08 - Risks, Recovery, Restrictions,
18:28 - Conclusion
For A Consultation:
- Please call 360 Orthopedics at 941-360-2233 and ask for Dr. Armaghani
- Go to www.ArmaghaniSpine.com and click "Book An Appointment"
Office Locations - 360 Orthopedics
1. 5985 Silver Falls Run, Suite 101
Lakewood Ranch, FL, 34202
2. 2750 Bahia Vista St, Suite 100
Sarasota, FL, 34239
Other Related Videos:
Lumbar Stenosis - • Lumbar Spinal Stenosis...
Lumbar Spondylolisthesis - • Lumbar Spondylolisthes...
Websites:
www.ArmaghaniSpine.com
www.360-orthopedics.com/sheya...
Other Platforms:
Twitter: / armaghanispine
Facebook: / armaghanispine
The content on this RUclips video and channel, including, but not limited to, the text, graphics, images, links, and other materials are for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment, and does not constitute medical or other professional advice. Dr. Armaghani does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the website. Reliance on any information provided herein is solely at your own risk. The information provided on all websites associated with Dr. Armaghani, including www.ArmaghaniSpine.com, is designed to support, not replace, the relationship that exists between patient/site visitor and his/her physician. Never disregard professional medical advice or delay in seeking it because of something you have read or seen on this RUclips page or on www.ArmaghaniSpine.com. 
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I had a laminectomy about 4 weeks ago. The results have been so great, what a treat to be pain free. I am 79 and am so very pleased with the results.
That is such good news to hear and I am glad for you. My husband will have laminectomy surgery this month and your comment is encouraging. God bless.
Great to hear!
Two months since surgery. He’s doing very well, no pain. Amazing.
Did you get it done by a neurosurgeon or orthopedic surgeon?
You done public or private ?
My dad is going to have laminectomy tomorrow. Pls pray for his smooth surgery and recovery 😢
Prayers
My husband had his Laminectomy yesterday! 2nd revision following his initial percutaneous discectomy from 1994. Oooff, his pain level coming out of surgery was heartbreaking. We hope & pray this gets him out of pain and on with a better quality of life.🙏❤️ I hope your dad is doing well!
Prayers sent, LORD bless
Prayers
I work with these doctors in surgery. I have also benefited, having two spinal fusions myself. Never forget who the real heroes are. And never forget, without companies making our supplies so we can do the surgeries, it would not be possible. Always thank your healthcare workers!
I’m a retired RN having spent my latter years In nursing working with a large group of neurosurgeons. Your presentation is the very best I’ve seen! Having lumbar laminectomy in two days…my second one. Again, a fantastic educational tool here! Thank you
Glad it was helpful! Good luck!
@@ArmaghaniSpine😊
After 8 months of chronic debilitating pain in both legs, I had decompression surgery at levels L1/L2 and L2/L3 in November 2022. The procedure was 100% successful and the surgeon has literally given me my life back. The day after surgery my surgeon came to see me and asked me to stand up. There was zero pain in my hips, pelvis and legs. I am not at all ashamed to admit..I burst into tears. I am 64 and will soon be returning to shooting and scuba diving activities. Activities I have missed so much.
im so happy you had such a great result!
Good for you. I had a L2-L5 Laminectomy about seven weeks ago. My legs are stiffer, more painful, and weaker than before the surgery. The doctor recommended physical therapy. I went to one session and was unable to do even the most basic exercises. The first week after the surgery, I felt fine. I even walked the treadmill for 20 minutes a day. Then on day 7, it was like someone flicked a switch and EVERYTHING came back. I'm even more miserable than I was before the surgery.
@@torydz oh mate, that’s awful. I’m so sorry it didn’t work for you. You say you had laminectomy L2/L5. Are you saying that all lumber discs between lumber levels 2 and 5 were worked on? That’s a lot of work. Sometimes there is substantial post operative nerve inflammation. Let’s hope it’s that and things get better soon for you. 🤞
@@PSUK Yes, three levels were done, plus bilateral foraminotomies. I had severe stenosis in L2-L3, moderate in L3-L4, and severe in L4-L5. As you mentioned, it could take quite a while for everything to "calm down".
@@torydz hi my friend. I had 2 fusions (L4/L5 and L5/S1) nearly 40 years ago and recovery was a few months in coming because of nerve inflammation issues. Make no mistake, this is major surgery and can take some time for the body to recover from the massive invasion. I wish you well my friend. Trust me, I know your pain. ✊
Successfully operated this way 2 weeks ago (the Netherlands) and I have control over my bladder again and the radiating pain in my foot is almost over. The hernia was large ( many pieces: sequester).
I have to recover now, but I can't wait to be able to cycle again! I do not understand the reluctance to operate in the Netherlands. I have been in unnecessary pain for a year.
After 4 lumbar and 1 cervical surgery I finally just had my spine removed and a replacement put in... best thing ever!! Feel 18 again!!
Replacement spine?
loved this presentation, I am having the laminectomy done Jan 8th, 2024 and this presentation made me feel very comfortable
How are you doing ?
Same question: how are you doing?
Fantastic explanation Doctor Armaghani! I had a neck fusion, C6-7 30+ years ago, now I am facing T-12-L4-L5-S1 nerve compression after 40 years of pain. Thanks for the great knowledge and information!
More people need to come across this video! Thanks for educating us!
I have a scheduled Leminectomy for L3/4 in 2 days :-). I have seen close to 100+ RUclips presentation for Lumbar disc herniation and spinal stenosis. Dr. Armaghani presentation is super SIMPLE and very CLEAN and take ALL aspects of the medical conditions from symptom, to surgery, recovery and possible after effects. Amazing video for use of patients and their family members. Thank you for your efforts you put in providing knowledge to average people.
Thank you, Saleem. Good luck on your surgery!
My wife just had a T10-12 laminectomy. Partial at 10 and 12. She had severe pain for years before she finally found a surgeon she trusted. She has had AMAZING pain relief in just 2 weeks post op. She is actually already off her pain meds that she has taken for years. Now it is just occasionally instead of constantly.
I’m scheduled to have this surgery in a few weeks. do you mind updating me on how you’re doing?
Saleem I’m scheduled to have this surgery in a few weeks. do you mind updating me on how you’re doing?
That was an absolutely brilliant explanation of spinal surgery. I had interlaminar spinal decompression surgery a week ago. Although my neurosurgeon explained the procedure to me beforehand, I had trouble taking it all in as I was stressed about the surgery and there is a lot to understand. I’m recovering very rapidly from the surgery but I can see that I need to be a more patient patient before I see significant improvement. Thanks again.
I find visuals help patients learn the best. Glad this was a good resource.
I feel like I should pay for this video! The information you provide is clear, comprehensive and invaluable for this pre-op laminectomy patient . Thank you very much!
You're most welcome!
Thank you so much! Best video! I had an L4 L5 laminectomy 5 weeks ago. I am 71 and doing much better but I wish my surgeon explained the steps. I had discectomy 40 years ago and all was fine till about 8 months ago when my sciatica was so bad I could barely walk.
The 1st week after my laminectomy was rough but I am back to gardening and feeling much better.
Your video was perfectly done!!!
Thank you for sharing! Family member had the same L4 L5 decompression surgery less than a week ago. We saw an immediate improvement in balance, but still feeling quite a bit a weakness from months of very limited mobility. Had the same issues with severe sciatic pain on right leg that affected sitting and standing. It is nice to know that you overcame challenges the first week. He is in his 70s and is not as familiar with what to expect, and wanted to make sure he knew that he won’t all of sudden be running around after surgery. But love hearing you got over the challenges you had in the initial week and are already back to activities like gardening!
Thank you Dr. Armaghani for a very clear explanation of a laminectomy. I had surgery for a tethered cord in 1995. Having a video to provide a surgical patient the surgery experience is awesome.
Happy I could help, Denise!
Thank you for very simple and detailed explanation of Spinal Stenosis Surgery. I was very reluctant to have this surgery preformed but I have been on pain meds for much too long. I will speak with my Neurologist about having this procedure done ASAP! May GOD BLESS YOU 🙏
Thank you, Buddy. You as well!
Thank you for this intelligent, detailed explanation of the procedure and its aftermath. I'm post operative and know now what to expect. Great video.
Thank you, Ilan. That is the goal of the channel. To make a complicated issue, more digestible for the non-physician. It's challenging to remember everything the surgeon says. If this helps a little, I am happy for that.
@ilan Katz how are you doing now if you don't mind me asking?
Thank you so much for this video. I’m a nurse who needs this surgery soon. You made this easy to understand 💕
Best of luck!
Your explanation and visuals are the best that I have seen. I'm having a Laminectomy next week. After watching your video, I feel much better about the procedure. Thank you!
How are you doing now?
I had the procedure yesterday with discectomy and foraminotomy. My pain today is excruciating, but I’m so looking forward to the healing.
Your video is wonderful. Thank you so much for the time you put toward this and the clarity of which you made it, sir.
How you feeling now?
Hang in there! The first month is the worst
How do you feel now ?
I’m about 5 months post op now. I’m doing really well and wish I had not delayed so long in getting the surgery done. First couple of days was horrendous but improved steadily after that. I had started back walking on the treadmill and tried to push myself a little earlier than I probably should have. I had to simply stop that and give time for everything to heal more naturally IMO. I honestly feel close to 100% now. I’m pretty active and having no issues. So grateful.
I’m so scared to have these done but I know I need it. I need exactly all three procedures you had. My concern is pain management after. I’m already on pain meds. May I ask We’re you in the hospital or was this outpatient surgery?
I can´t thank you enough!
I just went trough the procedure; your clear explanation makes me feel so much better after understanding what went on.
Cheers!!!
Glad it helped!
Thank you so much. I really like your video and I wish all doctors and surgeons can be as clear as you. Now I have a much clearer picture about spinal stenosis and laminectomy.
Thank you, James. Good luck to you!
What a great video! Looks like I am going to have to have this done and I feel much better about it now that I watched video. Thank you so much.
This is an excellent video, and has the clearest explanation I've come across of the various elements that comprise the lumbar / spinal area, with regard to the laminectomy procedure.
Very informative I am waiting for this operation and this has made it very clear what it's all about
Thank you so much for the thorough and easy to understand walk-through. I am having my laminectomy tomorrow and this video has eased some of my concerns and answered some questions that I didn't know how to articulate.
best of luck!
I had mine 3 weeks ago. How are you feeling now ?
@@gladischoueifati8209 how do it go ?
My doctor said j need one but in scared
Outstanding high performance presentation! Cristal clear. I (68yr old male) finally understand what my surgeon did with my spine at 4 levels L2-L3, L3-L4, L4-L5, L5-S1. Thank you very much, dr. Armaghani.
Dr. Armaghani - thank your very much for the layman's overview. It was most helpful.
An excellent, well-structured overview and explanation: presented with compassion as well as knowledge. My partner will be having this operation, and a fusion at the same time. Thanks to your presentation, we have a better understanding of what to expect; the questions to ask; the milestones of recovery.
Glad it was helpful! Best of luck!
This is a great explanation. Had a laminectomy 2 yrs ago, wish it was explained to me like this.
Thank you!
I’m happy to say that I had a successful lumbar laminectomy of L1-L5 in 1998. Your presentation was very informative and easy to follow.
Glad it was helpful!
Thank you very much, God bless you🙏
One of the best presentations on the subject. Very useful and interesting
Glad it was helpful!
Brilliant video Dr. Armaghani! Keep up the great work and educational videos. 👍🏼🙏🏼
I had my L5 S1 done at age 40. After waiting over 2 yrs for surgery. All went well, best relief I had.Now, after waiting 2 yrs again, I am having surgery on my L4, after 17 yrs of wear & tear she had enough & collapsed. I can not wait for surgery & the relief that goes with it. Will be glad to start walkinĝ long distances.
P
Thank you so much for the detailed explanation. This is an amazing video!!!
Dr I have to tell you that I really enjoyed your video because you did such an awsome job at coloring each part of the spine. I just had a lumbar laminectomy and a micro discectomy 2 years ago and I am doing fabulous. I had a foot drop and walking for me was getting harder and harder and the pain was changing my mood. I subscribed to your channel immediately.
Glad to hear you are doing well!
Thank you so much doc for such an elucidated explanation! 🙏🏻
My mom yesterday had a successful Lumbar Laminectomy on 4 levels up till L5-S1. A neurosurgeon from our family performed the surgery. She had been suffering from chronic joints pain due to Bilateral Osteoarthritis and maybe Ankylosis Spondylitis too but her lumbar canal stenosis had been really severe and numbness in her legs had started an year and a half ago so laminectomy was the only option. She's 5' 2" and 70 kg rn and in full spirit after the successful surgery yesterday and we will be forever grateful to this family who gave my mum a new life! 🥺❤️🥰
Great to hear!
How is she now?
Laminectomy one month ago , NO issues after being told by previous doctor 81 is to old . Thanks Dr. Fahim !😅
Best explanation of the procedure! Thank you!
Glad it was helpful!
Thank you Dr. Armaghani, this explanation was concise and informative. I could not have asked for a better explanation, especially as I prepare to shadow a physician performing this surgery. Thank you again--I really appreciate it.
Good luck!
That was great! My dad is getting the procedure done in a few weeks. Now I know exactly what he's going through. Thank you.
Glad I could help!
@@ArmaghaniSpine turns out he's having a spinal fusion done. Ouch! He has two degenerated disks.
Excellent video! Can't say I'm looking forward to the surgery, but knowing what's involved is very reassuring.
Very helpful , thank you for taking your precious time to share your talent
It's my pleasure
Thank you for the clear no b.s. explanation! Greatly appreciated and thank you! With four herniated discs in my lumbar ! Service related, living with the pain is a new level of appreciation for good health! Thank you it's what I may have to have done .
Good luck, Jerry! Thank you for the kind words.
Thank you,
This was VERY well done. Good graphics and corresponding explanations. Well done! I have sciatica from L4/5 and we just did a series of xrays whilst bending to see if it will be stable enough to not require “fusing” (whatever that is!) I’m just going to explore your channel to see if you cover that. Again, great job doctor!
That's a great idea on your doctor's end to do xrays that way!
Thank you so much for your comprehensive explanation. I am scheduled to have the procedure end of August, sadly my neurosurgeon wasn’t able to fully explain what to expect. I’m glad I found this video.
Glad it was helpful!
Simply outstanding. Thank you Dr. Amaghani.
I'm having this done in a few days and I just want to thank you so much for this video and the breakdown of what I'm walking into.
How has your recovery been? Hope all is well. I am facing this surgery if injections (scheduled in 2wks) dont work.
@@kidzgamerhubmy wife just had this done and is recovering. She had really severe nerve pain down her leg all the way to her foot. It was immediately relieved after surgery. She's so happy about the nerve pain being gone the incision pain and muscular pain isn't too bad.
@@db336 that's good to hear. Wishing her a speedy recovery. I have pins and needles along with numbness into my feet.. so bad I sprained my ankle and chipped a bone in it. Ive been in a boot for 2 months which doesn't help my back at all. I had the injections but I really dont feel any difference yet besides being able to stand a little longer
Good luck, James!
So how did it go James ? I'm on the fence about having this done so please let me know how you're doing after 5 months. Thanks
Thank you Dr. Armaghani for this extremely clear and informative video. I was injured at work lifting an odd shaped box from a stooping position. As I rose up to put the box on a near by table, the box shifted and to avoid the contents from falling out I made a sudden move to stop it. That was 3 years ago, and boy did my life change completely! An MRI showed I had torn ligaments and spinal stenosis with the disk protruding into the spine pushing on nerves. I didn't even no I had stenosis since I was having no back pain at all until this accident. A surprise to me. I have had those injections via a pain doctor on 3 separate occasions, injecting the medicine on each side of my spine. I found the injections helpful and found some relief up to 6 months. I have also seen a Neuro Surgeon, who basically told me to continue with those shots as long as I was getting some relief. He said that the injury would get worse over time and I would probably need surgury when the quality of my life is no longer good. He explained the surgury a little like you did but not that extensive. He said that it would be a one night stay in the hospital and I would be in extreme pain for 6-8 weeks. He gave the success of the surgury a 70/30% rating. I'm nearing the time for surgury because I can hardly do anything. I only get complete relief by lying down. I'm not excited about extreme pain or the 70/30%. I would prefer 90/10. My biggest concern is the removal of the bone etc. Isn't that there to protect the spine and spinal cord from damage??? Does this leave you more exposed to serious damage if one fell or banged their back in that spot, or even a car accident? These are things I worry about with surgury. I would be thrilled with feed back from you concerning the above. Thank you.
Hi. Take the surgery and pray for better life, be careful and all of your life choices and change jobs to better care for your back, my prayers go out for you 🙏. Hope you are better. God bless!
Hey have you gotten surgery? I have 3 herniated discs and 2 facet diseases with lumbar stenosis IDK what to do im constantly in pain when at work injections just take away a little pain but still feel something everyday 24 7 🙏
Out of all the videos I've watched on the net,I've found yours to be the most thorough at understanding the procedures involved,as I believe I have spinal stenosis,I now have a better understanding of my condition and peace of mind,thankyou
You're most welcome, Irene!
I’m a surgical tech student doing this procedure tomorrow this video was very clear and helpful, thank you and subscribed !
Honetly, I can't express enough my gratitude to you for making this video! In 4 days time I'm heading in for a discectomy and laminectomy on my L4 L5 area. And this step by step video was so helpful and has lowered my anxiety a bit. Thank you so so much all the way from New Zealand :)
You're most welcome. Good luck!
I just had 1 two days ago & still was confused until I seen this video. THANK YOU!
I am having this surgery in four days and am very anxious about it. Your informative video has definitely put my mind a bit more at ease. It was a huge decision for me to make. Being in pain and unable to have the freedom to enjoy my life, has been quite soul crushing. I am hopeful this procedure will bring me back to the life I miss so much. Thank you so very much for your kind and caring demeanor and sharing so vividly, your expertise and knowledge. God Bless you
Good luck, Maria. When the patient is comfortable with their decision is when the best possible outcomes can occur. These surgeries are almost always elective so it's great to wait until the patient is the most ready for the procedure.
@maria panariello how are you doing now post op if you don't mind me asking.
how was your surgery? im nervous too
I’m just curious if you had your surgery and how are you doing now.I hope much better, I’m getting the L4 and L5 in a couple of weeks
@@338mag Her silence makes me more anxious. 😒I hope she is okay.
Crystal clear illustrations and explanations. With sincere appreciation, I thank you. Mary
Thank you!
Very well done. I am scheduled for one and understanding the procedure is extremely helpful. Thanks
What a very helpful, clear and reassuring video! I wish I had seen this before my recent surgery- would have understood the procedure so much better and been less scared. Fortunately surgery worked, to a degree - looking forward to the one year mark: Thank you Dr for your calm, clear explanations. Best wishes from UK
Thank you!
Best wishes from Ghana.
Merry Dr Armaghani, keep on with the great work!
By the way is that Dr’s Senegas technique?
Fantastic video. Thank you. I feel less afraid of the surgery.
Perfect explanation and video. Thank you, Dr. Armaghani!
Your presentation is excellent and answered many questions I had about the procedure. I had a procedure that was intended to remove a large cyst (1.2 by 0.6 cm) between L3 and L4. The pressure of the cyst against the nerves was causing intense pain if I stood up straight , so I almost could not walk at all except bent over. The surgeon also performed a laminectomy on L3 and L4 at the same time. The 4 week post-op exam was last week. The surgeon showed me an image of the result which showed that he had placed metal clips inthe space where the lamina had been, leaving lots of space in the canal but presumably providing protection to it. What is your opinion on applying the clips? I am healing nicely with a mild ache at 4+ weeks. I did have a day with moderate pain in the buttocks and left leg that alarmed me. But now that is gone. You did say there could be bad days but they would be transient most probably. Thanks for mentioning that, it was a reief to know that. Thank you for your exceptionally informative video.
One of the best videos ever. Thanks
Excellent presentation!
Unbelievable clarity and explanation of my upcoming surgery. ****THANK YOU****
You're most welcome
I had a multi-level laminectomy 4 days ago (L3-L4, L4-L5 and L5-S1). I did not need any over the counter medication for pain. I have been searching for a good explanation of what was done and what to expect with recovery. This was by far the best explanation. Thank you.
Thank you, Dr. Armaghani, for an excellent video on lumbar laminectomy for the layperson.
You are most welcome
Thanks Doctor for putting this video together. I had this done at UHS in Johnson City, NY. in early May 2021. Dr. S. did an excellent job totally curing my right leg pain. The post op nurse told me not to left more than 5 pounds for 6 weeks. No problem with any incision or abnormal back pain. It's killing me to be careful but I never want the leg pain back. God Bless.
This video really enlightened me about how i feel after 4 months of lumbar stenosis surgery. I always feel like my back bone is dislocated, it's so uncomfortable laying down the bed and getting up. I still have 6 months waiting for that full recovery.. Thank you doctor, this really help.
Great video! Clear, concise, very informative. Thanks!👍
Glad it was helpful!
Thank you so much! This is a great resource to help scrub these sorts of cases
Super simple explanation, thank you doctor!
Glad it was helpful!
Thank you! This video is so helpful! You are awesome.
Thank you!
Thank you so much for the thorough and easy to understand procedure.
My surgery was 1-week ago and I was concerned with (on & off) pain. Can't wait for full recovery.
hang in there!
I'll join the chorus here - excellent, probably one of the best explanations of the laminectomy procedure and the risks of the surgery. Thank you Dr. Armaghani! The only regret, I wish I could come to your clinic in my area of New York!
Thank you for the kind words!
My surgery is 2 weeks away and these videos are a great help in understanding the procedure and what to expect afterward. I'm looking forward to relieving my right-side leg pain after trying everything else. I'm almost 82. Thanks.
great explanation with great amination.
Glad you liked it!
Thanks doc for the elaborating this procedure
most welcome
Excellent instruction...thank you. I am looking forward to positive recovery outcome.
Well explained thank you Dr.
Thank you so much for this video. My adult son is having the procedure soon and this really put my mind at ease.
Thank you for such an informative video. I'm having my 2cd laminectomy in a 3 year period and I know more now than I did before the 1st.
good luck!
Very well explained, thank you Doctor.
Most welcome!
Very well described ! Very simple , visual and complete analysis thanks from montreal
Thank you, Doug.
Thankyou for a comprehensive overview on this surgery !
you're most welcome!
awesome presentation thank you
Thank you doctor. Excellent presentation!
Doctor you did a great job explaining this procedure thanks so much im scheduled for Friday to have mine done im a little anxious
Absolutely brilliant video. Thanks Doc 👍👍👍👍👍👍👍👍
Glad you enjoyed it
I may be facing the same surgery. Thank you for the info
Very informative. Thank you!
Great sir. Very helpful video. Thanks ❤
Thank you for such a thorough explanation.
You're very welcome!
I really appreciated this video and the explanations. Having the procedure in three weeks.
Dr. Thank you for explaining this and making it easy to understand. 😊
Glad it was helpful!
@@ArmaghaniSpine Thank you Dr. 🤗
Thank you so much, what a great explanation. I just had the laminectomy/discectomy 24 days ago and it feels like a miracle to me, I am doing well and recovering faster than I was expecting🙏🙏👏👏. Your vídeo it's amazing!
Glad it was helpful!
This is so well done. The spine anatomy has terms that are very confusing to me along with the weird shapes of each vertebrae. I'm getting multilevel (three) laminectomy in 3 weeks and this is such a good explanation with the illustrations i feel much better knowing just what is going to happen
This is a wonderful video. Very straight forward. I see a surgeon in a few months for consultation so i also will be able to understand it more now i have seen your presentation. Thank you
this was excellent. I've watched a number of videos about laminectomy etc, and none were anywhere near as good as this.
Glad it was helpful!
Excellent explanation
Brilliant video. You made it so easy to understand. God bless you
Thank you so much
An excellent video with clear visage and succint explanation. Thank you.
Glad it was helpful!