How I do it: en-bloc subaxial cervical laminectomy using a high-speed drill with a footplate attachment. - 2020

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.


English

0001-6268

10.1007/s00701-019-04158-y [doi] 10.1007/s00701-019-04158-y [pii]


*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 Instruments


Medstar Union Memorial Hospital
MedStar Washington Hospital Center


Neurosurgery


Journal Article