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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.
These approaches are the anterior approach which is a direct removal of the cord compressing lesion, or a posterior approach which is an indirect decompression of the spinal cord. 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 ...
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 ...
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).
Nonsurgical interventions include drugs, physical therapy, and spinal injections. [10] Spinal decompression is the main surgical intervention and is the most common back surgery in patients over 65. [1] Other forms of surgical procedures include: laminectomy, microdiscectomy and laminoplasty.
Techniques include laminectomy, laminectomy and fusion, and laminoplasty. Decompression plus fusion appears no better than decompression alone, while spinal spacers appear better than decompression plus fusion but not better than decompression alone. [41] [42] No differences were found in the type of decompression. [42]
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