Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis
| Autor: | H. Bertalanffy, Joachim M. Gilsbach, Uwe Spetzger, C. Naujokat, Diedrich Graf v. Keyserlingk |
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| Rok vydání: | 1997 |
| Předmět: |
Adult
musculoskeletal diseases Microsurgery medicine.medical_specialty Facet (geometry) Spinal stenosis Decompression medicine.medical_treatment Functional Laterality Laminotomy Spinal Stenosis Cadaver medicine Humans Lumbar Vertebrae business.industry Laminectomy Lumbar spinal stenosis Anatomy Decompression Surgical musculoskeletal system medicine.disease Surgery Stenosis Facetectomy Feasibility Studies Neurology (clinical) Tomography X-Ray Computed business Spinal Cord Compression |
| Zdroj: | Acta Neurochirurgica. 139:392-396 |
| ISSN: | 0942-0940 0001-6268 |
| DOI: | 10.1007/bf01808872 |
| Popis: | A unilateral laminotomy for bilateral access to the lumbar spinal canal was investigated in human cadaver spine specimens to test its practicability in the treatment of spinal stenosis. Micro-surgical decompression was performed by partial resection of the ipsilateral facet, the medial portion of the laminar arch, the contralateral facet and by complete removal of the ligamentum flavum. Anatomical, radiological and morphometrical studies on 4 adult cadaver spine specimens have proved the feasibility of this unilateral approach. Complete bilateral flavectomy and partial bilateral facetectomy were the essential surgical steps for an adequate operative decompression. |
| Databáze: | OpenAIRE |
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