Unilateral Laminotomy with Bilateral Spinal Canal Decompression for Lumbar Stenosis: A Technical Note

被引：15

作者：

Moisi, Marc ^{[1
,2
]}

Fisahn, Christian ^{[3
,4
]}

Tkachenko, Lara ^{[3
]}

Tubbs, R. Shane ^{[5
]}

Ginat, Daniel ^{[6
]}

Grunert, Peter ^{[7
]}

Jeyamohan, Shiveindra

Reintjes, Stephen ^{[8
]}

Ajayi, Olaide ^{[3
]}

Page, Jeni ^{[3
]}

Oskouian, Rod J. ^{[9
]}

Hanscom, David ^{[3
]}

机构：

[1] Wayne State Univ, Seattle Sci Fdn, Detroit, MI 48202 USA

[2] Wayne State Univ, Neurol Surg, Detroit, MI 48202 USA

[3] BG Univ Hosp Bergmannsheil, Swedish Neurosci Inst, Neurosurg, Bochum, Germany

[4] BG Univ Hosp Bergmannsheil, Dept Trauma Surg, Bochum, Germany

[5] Univ Chicago, Seattle Sci Fdn, Neurosurg, Chicago, IL 60637 USA

[6] Univ Chicago, Radiol, Chicago, IL 60637 USA

[7] Swedish Neurosci Inst, Neurosurg, Swedish Neurosci, Seattle, WA USA

[8] Swedish Neurosci Inst, Dept Neurosurg, Swedish Neuro, Seattle, WA USA

[9] Swedish Neurosci Inst, Complex Spine, Neurosurg, Seattle, WA USA

来源：

CUREUS | 2016年 / 8卷 / 05期

关键词：

lumbar stenosis; lumbar decompression; lumbar laminectomy; unilateral laminotomy bilateral decompression; lumbar spine; spinal stenosis;

D O I：

10.7759/cureus.623

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页数：11

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