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Title
Introduction
1. Surgical Exposure
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A. Identify Anatomic Landmarks
B. Incise Skin and Dissect Down to Spinous Processes
C. Release Muscle Attachments from Lamina
D. Confirm Spinal Level by X-Ray
E. Identify Junction and Prepare for Drilling
2. Osteotomies
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A. Drill Full Thickness Osteotomy of Lamina on Side to be Opened
B. Control Bleeding from Epidural Veins
C. Drill Outer Cortex Osteotomy on Contralateral Side
D. Gently Open Lamina with Cobb Elevator
E. Repeat for Each Level
3. Fixation
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A. Retract Lamina at Each Level
B. Insert Laminaplasty Plates
C. Fix Plates with Screws
4. Inspect Repair/Supplement With Bone Graft
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A. Inspect Repair
B. Resect Spinous Processes and Use as Bone Graft
5. Closure
Discussion
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1. Clinical Presentation
2. Hoffman Sign
3. Imaging
4. Goal of Laminaplasty
5. Surgical Options
6. Risks
7. History of Laminaplasty
8. Types of Laminaplasty
9. Pearls
10. Patient Role in Recovery
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Cervical Laminoplasty
Louis Jenis, MD
Newton-Wellesley Hospital, Boston MA
Tags:
Orthopaedics
Neurosurgery
Multidisciplinary Surgery
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Procedure Outline
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Authors
Louis Jenis, MD
Filmed At:
Newton-Wellesley Hospital
Article Information
Publication Date
6/29/2014
Article ID
6
Production ID
0050
Volume
2014
Issue
6
DOI
https://doi.org/10.24296/jomi/6