Unilateral Laminotomy with Bilateral Spinal Canal Decompression for Lumbar Stenosis: A Technical Note
| Autor: | Daniel Thomas Ginat, Rod J. Oskouian, Lara Tkachenko, R. Shane Tubbs, Peter Grunert, Shiveindra Jeyamohan, Christian Fisahn, Olaide O. Ajayi, David Hanscom, Stephen Reintjes, Marc Moisi, Jeni Page |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Decompression Spinal stenosis lumbar decompression medicine.medical_treatment Neurosurgery lumbar stenosis Neurogenic claudication Laminotomy 03 medical and health sciences 0302 clinical medicine Lumbar stenosis Medicine Spinal canal spinal stenosis lumbar laminectomy business.industry lumbar spine General Engineering unilateral laminotomy bilateral decompression Laminectomy medicine.disease Surgery Orthopedics medicine.anatomical_structure 030220 oncology & carcinogenesis Spinal fusion medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.623 |
| Popis: | Lumbar stenosis has become one of the most common spinal pathologies and one that results in neurogenic claudication, back and leg pain, and disability. The standard procedure is still an open laminectomy, which involves wide muscle retraction and extensive removal of the posterior spinal structures. This can lead to instability and the need for additional spinal fusion. We present a systemized and detailed approach to unilateral laminotomy for bilateral decompression, which we believe is superior to the standard open laminectomy in terms of intraoperative visualization, postoperative stability, and degree of invasiveness. |
| Databáze: | OpenAIRE |
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