The use of the T-saw for expansive midline laminoplasty in the treatment of cervical myelopathy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-09

AUTHORS

Katsuro Tomita, Hideki Murakami, Norio Kawahara, Takuya Fujita

ABSTRACT

ObjectiveEnlargement of the cervical spinal canal in patients with spinal cord compression.IndicationsMultisegmental spinal cord compression of the cervical spine.ContraindicationsOssification of the ligamentum flavum or epidural scar preventing the sublaminal passage of the T-saw.Surgical TechniquePosterior midline incision. Exposure of spinous processes and posterior laminae. Sublaminal passage of T-saw. Splitting of the spinous processes. Confection of bilateral grooves in the laminae. Spreading of divided spinous processes and insertion of a spacer.ResultsBetween 1991 and 1998, a midline T-saw laminoplasty was performed in 88 patients (30 women and 58 men, average age 61.3 years). Average duration of surgery 121 min, average blood loss 132 ml. Remarkable postoperative neurologic recovery, no deterioration of deficits. No major complications were encountered. More... »

PAGES

169-178

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00065-002-1046-8

    DOI

    http://dx.doi.org/10.1007/s00065-002-1046-8

    DIMENSIONS

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