nach oben

European Spine Journal

Erschienen in:

01.02.2012 | Original Article

Laminotomy in adults: technique and results

verfasst von: Andrea Ruggeri, Angelo Pichierri, Nicola Marotta, Roberto Tarantino, Roberto Delfini

Erschienen in: European Spine Journal | Ausgabe 2/2012

Einloggen, um Zugang zu erhalten

Abstract

The objective of this study was to describe step by step our surgical technique of laminotomy and analyze our series with regard to spinal deformities (risk and predisposing factors), postoperative pain and rate of postoperative contusions. Data regarding patients who underwent our technique of laminotomy (N = 40, mean follow-up: 52 ms) (N = 40) between 2002 and 2006 were retrospectively evaluated. The technique used is illustrated in depth. Chronic pain was present in 30% with a mean score of 3/10 cm (Graphic Rating Scale). Postoperative kyphoses occurred in three patients, all below 35 years of age and with laminotomies which involved C2 and/or C7. None of these deformities required further surgical treatment because they were self-limiting or asymptomatic at a mean follow-up of 52 months. Based on the results, our technique proved to be safe and effective in terms of late deformities, blood loss, early and chronic postoperative pain and protection from postoperative accidents over the surgical site.

Nur mit Berechtigung zugänglich

Abbot R, Feldstein N, Wisoff JH, Epstein FJ (1992) Osteoplastic laminotomy in children. Pediatr Neurosurg 18:153–156CrossRef

Aebi M (2008) Outcome questionnaires and tools, chap 10.1. In: Aebi M (ed) AO spine manual, vol 2. Thieme, pp 755–767

Asazuma T, Yamagashi M, Sato M, Ichimura S, Fujikawa K (2003) Vertebral arch reconstruction based on 90 degree rotational laminoplasty after removal of spinal cord and cauda equina tumours. Acta Neurochir 145:495–500

Bakir A, Savas A, Yilmaz E et al (2006) Spinal intradural-intramedullary cavernous malformation. Case report and literature review. Pediatr Neurosurg 42(1):35–37PubMedCrossRef

Benglis DM, Guest JD, Wang MY (2008) Clinical feasibility of minimally invasive cervical laminoplasty. Neurosurg Focus 25(2):E4, 1–4

Bognar L, Madarassy G, Vajda J (2004) Split laminotomy in pediatric neurosurgical population. Child Nerv Syst 20:110–113CrossRef

Casha S, Engelbrecht HA, DuPleissis S, Hurlbert RJ (2004) Suspended laminoplasty for wide posterior cervical decompression and intradural access: results, advantages and complications. J Neurosurg Spine 1:80–86PubMedCrossRef

Cochrane DD, Steinbok P (1992) Laminotomy: a technical note. Childs Nerv Syst 8:226–228PubMedCrossRef

Constantini S, Siomin V, Epstein F (2006) Surgical management of intramedullary spinal cord tumors, chap 37. In: Fessler RG, Shekar L (eds) Atlas of neurosurgical techniques: spine and peripheral nerves. Thieme, pp 279–288

10.

Goel A (1997) Vascularized pedicled laminoplasty. Surg Neurol 48:442–445PubMedCrossRef

11.

Gropper MR, Kishan A (2006) Thoracic laminoplasty, chap 60. In: Fessler RG, Shekar L (eds) Atlas of neurosurgical techniques: spine and peripheral nerves. Thieme, pp 452–455

12.

Guo Y, Yadav R (2002) Improving function after total sacrectomy by using a lumbar-sacral corset. Am J Phys Med Rehabil 81(1):72–76PubMedCrossRef

13.

Hara M, Takayasu M, Takagi T, Yoshida J (2001) En bloc laminoplasty performed with threadwire saw: technical note. Neurosurgery 48(1):235–239PubMed

14.

Hashimoto Y, Furumiya J (2009) Toothpaste artifact of the spinal cord observed in a victim of traffic accident who died of pulmonary thrombotic embolism after laminectomy. Leg Med (Tokyo) 11(Suppl 1):S523–S525CrossRef

15.

Hejazi N, Hassler W (1998) Microsurgical treatment of intramedullary spinal cord tumors. Neurol Med Chir (Tokyo) 38:266–273CrossRef

16.

Hida S, Naito M, Arimuzu J, Morishita Y, Nakamura A (2006) The transverse placement laminoplasty using titanium miniplates for the reconstruction of the laminae in thoracic and lumbar lesion. Eur Spine J 15:1292–1297PubMedCrossRef

17.

Inoue H, Ohmori K, Ishida Y, Suzuki K, Takatsu T (1996) Long-term follow-up review of suspension laminotomy for cervical compression myelopathy. J Neurosurg 85:817–823PubMedCrossRef

18.

Jenkins DHR (1973) Extensive cervical laminectomy. Long-term results. Br J Surg 60:852–854PubMedCrossRef

19.

Kato M, Nakamura H, Konishi S et al (2008) Effect of preserving paraspinal muscles on postoperative axial pain in the selective cervical laminoplasty. Spine 33(14):E455–E459PubMedCrossRef

20.

Kawahara N, Tomita K, Shinya Y et al (1999) Recapping T-saw laminoplasty for spinal cord tumors. Spine 24(13):1363–1372PubMedCrossRef

21.

Kim P, Murata H, Kurokawa R, Takaishi Y, Asakuno K, Kawamoto T (2007) Myoarchitectonic spinolaminoplasty: efficacy in reconstructing the cervical musculature and preserving biomechanical function. J Neurosurg Spine 7:293–304PubMedCrossRef

22.

Lunardi P, Licastro G, Missori P, Ferrante L, Fortuna A (1993) Management of intramedullary tumors in children. Acta Neurochir 120:59–65CrossRef

23.

McGirt MJ, Chaichana KL, Atiba A et al (2008) Incidence of spinal deformity after resection of intramedullary spinal cord tumors in children who underwent laminectomy compared with laminoplasty. J Neurosurg Pediatrics 1:57–62CrossRef

24.

McLaughlin MR, Wahlig JB, Pollack IF (1997) Incidence of postlaminectomy kyphosis after chiari decompression. Spine 22(6):613–617PubMedCrossRef

25.

Ohmori K, Ishida Y, Suzuki K (1987) Suspension laminotomy: a new surgical technique for compression myelopathy. Neurosurgery 21(6):950–957PubMedCrossRef

26.

Raab P, Juergen K, Gloger H, Soerensen N, Wild A (2008) Spinal deformity after multilevel osteoplastic laminotomy. Intern Orthop (SICOT) 32:355–359CrossRef

27.

Raimondi AJ, Gutierrez FA, di Rocco C (1976) Laminotomy and total reconstruction of the posterior spinal arch for spinal canal surgery in childhood. J Neurosurg 45:555–560PubMedCrossRef

28.

Rogers L (1961) The surgical treatment of cervical spondylotic myelopathy. Mobilization of the complete cervical cord into an elarged canal. J Bone Joint Surg 43(B):3–6

29.

Sakaura H, Hosono N, Mukai Y, Oshima K, Iwasaki M, Yoshikawa H (2008) Preservation of the nuchal ligament plays an important role in prevent ingunfavorable radiologic changes after laminoplasty. J Spinal Disord Tech 21(5):338–343PubMedCrossRef

30.

Sani S, Ratliff JK, Cooper PR (2004) A critical review of cervical laminoplasty. Neurosurg Q 14(1):5–16CrossRef

31.

Suzuki F, Nakajima M, Matsuda M (1999) Cervical cord compression caused by a pillow in a postlaminectomy patient undergoing magnetic resonance imaging. Case report. J Neurosurg 90(Suppl 1):145–147PubMed

32.

Takeshita K, Seichi A, Akune T, Kawamura N, Kawaguchi H, Nakamura K (2005) Can laminoplasty maintain the cervical alignment even when the C2 lamina is contained? Spine 30(11):1294–1298PubMedCrossRef

33.

Tandon N, Vollmer DG (2006) Cervical laminectomy, chap 27. In: Fessler RG, Shekar L (eds) Atlas of neurosurgical techniques: spine and peripheral nerves. Thieme, 233–238

34.

Thomas NWM, Rea GL, Pikul B, Mervis LJ, Irsik R, McGregor J (1997) Quantitative outcome and radiographic comparison between laminectomy and laminotomy in the treatment of acquired lumbar stenosis. Neurosurgery 41(3):567–575PubMed

35.

Truumees E, Herkowitz HN (2002) Cervical laminectomy C1–C7, chap 2. In: Vaccaro AR, Alberto TJ (eds) Spine surgery: tricks of the trade. Thieme, pp 4–6

36.

Wiedemayer H, Schoch B, Stolke D (1998) Osteoplastic laminotomy using titanium microplates for reconstruction of the laminar roof: a technical note. Neurosurg Rev 21:93–97PubMedCrossRef

37.

Yasuoka S, Peterson HA, MacCarthy CS (1982) Incidence of spinal column deformity after multilevel laminectomy in children and adults. J Neurosurg 57:441–445PubMedCrossRef

38.

Yucesoy K, Sonntag VKH (2000) Terminology confusion in spinal surgery: laminotomy, laminoplasty, laminectomy. J Neurosurg 92:371PubMed

39.

Yucesoy K, Karci A, Kilicalp A, Mertol T (2000) The barrier effect of laminae: laminotomy versus laminectomy. Spinal Cord 38(7):442–444PubMedCrossRef

40.

Yukawa Y, Kato F, Ito K et al (2007) Laminoplasty and skip laminectomy for cervical compressive myelopathy. Spine 32(18):1980–1985PubMedCrossRef

Titel: Laminotomy in adults: technique and results
verfasst von: Andrea Ruggeri
Angelo Pichierri
Nicola Marotta
Roberto Tarantino
Roberto Delfini
Publikationsdatum: 01.02.2012
Verlag: Springer-Verlag
Erschienen in: European Spine Journal / Ausgabe 2/2012
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-011-1826-2

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2012

Paradoxical motion in L5-S1 adult spondylolytic spondylolisthesis

Mechanical implant failure in posterior cervical spine fusion

Evaluation of the rate of decompression in anterior cervical corpectomy using an intra-operative computerized tomography scan (O-Arm system)

Magnetic resonance imaging for diagnosing lumbar spinal pathology in adult patients with low back pain or sciatica: a diagnostic systematic review

Fracture and contralateral dislocation of the twin facet joints of the lower cervical spine