How I do it: en-bloc subaxial cervical laminectomy using a high-speed drill with a footplate attachment.

MedStar author(s):
Citation: Acta Neurochirurgica. 162(2):311-315, 2020 02.PMID: 31823120Institution: Medstar Union Memorial Hospital | MedStar Washington Hospital CenterDepartment: NeurosurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cervical Vertebrae/su [Surgery] | *Decompression, Surgical/mt [Methods] | *Laminectomy/mt [Methods] | Aged | Decompression, Surgical/is [Instrumentation] | Female | Humans | Laminectomy/is [Instrumentation] | Male | Middle Aged | Spinal Canal/su [Surgery] | Surgical InstrumentsYear: 2020ISSN:
  • 0001-6268
Name of journal: Acta neurochirurgicaAbstract: BACKGROUND: Cervical laminectomy is a common strategy to decompress the spinal canal.CONCLUSION: This technique allows for a safe, comfortable, and rapid decompression of the cervical spine with minimal risk. For routine cases, this may potentially be more safe and cost-effective than using a cutting bur or bone scalpel attachment.METHODS: The anatomy of the cervical spine and surrounding critical structures as viewed from the posterior approach is described. The use of a high-speed drill with a footplate attachment to make laminar troughs with an en-bloc subaxial cervical laminectomy is described with a discussion on surgical technique and complication avoidance.All authors: Bermudez HF, Mueller KB, Mullinix KPOriginally published: Acta Neurochirurgica. 2019 Dec 10Fiscal year: FY2020Digital Object Identifier: ORCID: Date added to catalog: 2020-01-03
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Journal Article MedStar Authors Catalog Article 31823120 Available 31823120

BACKGROUND: Cervical laminectomy is a common strategy to decompress the spinal canal.

CONCLUSION: This technique allows for a safe, comfortable, and rapid decompression of the cervical spine with minimal risk. For routine cases, this may potentially be more safe and cost-effective than using a cutting bur or bone scalpel attachment.

METHODS: The anatomy of the cervical spine and surrounding critical structures as viewed from the posterior approach is described. The use of a high-speed drill with a footplate attachment to make laminar troughs with an en-bloc subaxial cervical laminectomy is described with a discussion on surgical technique and complication avoidance.

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