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Operative treatment of cervical myelopathy: cervical laminoplasty.

Braly BA, Lunardini D, Cornett C, Donaldson WF - Adv Orthop (2012)

Bottom Line: Cervical spondylotic myelopathy (CSM) is a degenerative process which may result in clinical signs and symptoms which require surgical intervention.Many treatment options have been proposed with various degrees of technical difficulty and technique sensitive benefits.Current literature supports the use of laminoplasty for indicated decompression.

View Article: PubMed Central - PubMed

Affiliation: Univeristy of Pittsburgh Medical Center, Pittsburgh, PA, USA.

ABSTRACT
Cervical spondylotic myelopathy (CSM) is a degenerative process which may result in clinical signs and symptoms which require surgical intervention. Many treatment options have been proposed with various degrees of technical difficulty and technique sensitive benefits. We review laminoplasty as a motion-sparing posterior decompressive method. Current literature supports the use of laminoplasty for indicated decompression. We also decribe our surgical technique for an open-door, or "hinged", laminoplasty.

No MeSH data available.


Related in: MedlinePlus

Post-laminoplasty MRI showing the open hinge and space available for the cord created by the decompression.
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fig6: Post-laminoplasty MRI showing the open hinge and space available for the cord created by the decompression.

Mentions: A meticulous closure is done prior to leaving the operative field. We thoroughly irrigate the wound and stop all visable bleeding with cautery. A subfascial drain is placed, and the fascia is approximated with number 2 absorbable figure of eight stitches. The dermis is closed with 2–0 absorbable buried interrupted stitches, and the final skin is closed with a running subcuticular absorbable stitch. This technique should allow for adequated creating of space available for the cord (Figures 5 and 6).


Operative treatment of cervical myelopathy: cervical laminoplasty.

Braly BA, Lunardini D, Cornett C, Donaldson WF - Adv Orthop (2012)

Post-laminoplasty MRI showing the open hinge and space available for the cord created by the decompression.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3368162&req=5

fig6: Post-laminoplasty MRI showing the open hinge and space available for the cord created by the decompression.
Mentions: A meticulous closure is done prior to leaving the operative field. We thoroughly irrigate the wound and stop all visable bleeding with cautery. A subfascial drain is placed, and the fascia is approximated with number 2 absorbable figure of eight stitches. The dermis is closed with 2–0 absorbable buried interrupted stitches, and the final skin is closed with a running subcuticular absorbable stitch. This technique should allow for adequated creating of space available for the cord (Figures 5 and 6).

Bottom Line: Cervical spondylotic myelopathy (CSM) is a degenerative process which may result in clinical signs and symptoms which require surgical intervention.Many treatment options have been proposed with various degrees of technical difficulty and technique sensitive benefits.Current literature supports the use of laminoplasty for indicated decompression.

View Article: PubMed Central - PubMed

Affiliation: Univeristy of Pittsburgh Medical Center, Pittsburgh, PA, USA.

ABSTRACT
Cervical spondylotic myelopathy (CSM) is a degenerative process which may result in clinical signs and symptoms which require surgical intervention. Many treatment options have been proposed with various degrees of technical difficulty and technique sensitive benefits. We review laminoplasty as a motion-sparing posterior decompressive method. Current literature supports the use of laminoplasty for indicated decompression. We also decribe our surgical technique for an open-door, or "hinged", laminoplasty.

No MeSH data available.


Related in: MedlinePlus