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Laminectomy is an open or minimally invasive surgical procedure in which a portion of the posterior arch of the vertebrae and/or spinal ligaments is removed from the spine to alleviate the pressure on the spinal canal contents. This procedure is usually performed when decompression of more than one nerve root is needed.
A laminectomy performed as a minimal spinal surgery procedure is a tissue-preserving surgery that leaves more of the muscle intact and spares the spinal process. Another procedure, called the laminotomy, is the removal of a mid-portion of one lamina and may be done either with a conventional open technique or in a minimalistic fashion with the ...
Laminectomy was one of the main methods for the posterior approach, however, the creation of laminoplasty was able to avoid several problems associated with the laminectomy procedure. Some risks of the laminectomy procedure include postoperative segmental instability, kyphosis , perineural adhesions , and late neurological deterioration.
Laminectomy is the most effective of the surgical treatments. [26] In those who worsen despite conservative treatments surgery leads to improvement in 60–70% of cases. [7] Another procedure using an interspinous distraction device known as X-STOP was less effective and more expensive when more than one spinal levels are repaired. [26]
Despite the fact that microsurgical lumbar laminoplasty is an effective and less-invasive method for decompressing spinal nerves compared to traditional laminectomy, few surgeons have adopted it because the technique is more time-consuming and requires specialized training and equipment (operating microscope).
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