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Surgical treatment that includes a laminectomy is the most effective remedy for severe spinal stenosis; however, most cases of spinal stenosis are not severe enough to require surgery. When the disabling symptoms of spinal stenosis are primarily neurogenic claudication and the laminectomy is done without spinal fusion, there is generally a more ...
Spinal fusion, also called spondylodesis or spondylosyndesis, is a surgery performed by orthopaedic surgeons or neurosurgeons that joins two or more vertebrae. [1] This procedure can be performed at any level in the spine (cervical, thoracic, lumbar, or sacral) and prevents any movement between the fused vertebrae.
A laminotomy is an orthopaedic neurosurgical procedure that removes part of the lamina of a vertebral arch in order to relieve pressure in the vertebral canal. [1] A laminotomy is less invasive than conventional vertebral column surgery techniques, such as laminectomy because it leaves more ligaments and muscles attached to the spinous process intact and it requires removing less bone from the ...
There are many spinal procedures that make use of minimally invasive techniques. They can involve cutting away tissue (), fixing adjacent vertebrae to one another (spinal fusion), and replacing bone or other tissue.The main philosophy is least bloods, tissue damage, and keep bone/tissue architecture The name of the procedure often includes the region of the spine that is operated on, including ...
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.
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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