作者
Robert Nick Hernandez, Christoph Wipplinger, Rodrigo Navarro-Ramirez, Sergio Soriano-Solis, Sertac Kirnaz, Ibrahim Hussain, Franziska Anna Schmidt, José-Antonio Soriano-Sánchez, Roger Härtl
发表日期
2020/3/1
期刊
Operative Neurosurgery
卷号
18
期号
3
页码范围
284-294
出版商
LWW
简介
BACKGROUND
Minimally invasive techniques utilizing tubular retractors have become an increasingly popular approach to the spinal column. The concept of a unilateral laminotomy for bilateral decompression (ULBD), first applied in the lumbar spine, has recently been applied to the cervical spine for the treatment of cervical spondylotic myelopathy (CSM). A better understanding of the indications and surgical techniques is required to effectively educate surgeons on how to appropriately and safely perform tubular cervical laminotomy via ULBD.
OBJECTIVE
To describe a 10-step technique for minimally invasive cervical laminotomy and report our early clinical experience.
METHODS
A retrospective review identified 15 patients with CSM who were treated with this procedure. Visual analogue scale (VAS), neck disability index (NDI), and modified Japanese Orthopaedic Association (mJOA) scores were obtained pre …
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RN Hernandez, C Wipplinger, R Navarro-Ramirez… - Operative Neurosurgery, 2020