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Related Experiment Video

Updated: Jun 10, 2026

Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum (TOLF) Using Ultrasonic and Conventional Osteotomes
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[Laminoplasty].

Frank Grochulla1, Christoph Mehren, Christoph Siepe

  • 1Klinik für Orthopädie, Unfall- und Wirbelsäulenchirurgie, Euromed Clinic GmbH, Fürth, Germany. frank.grochulla@euromed.de

Operative Orthopadie Und Traumatologie
|August 3, 2010
PubMed
Summary
This summary is machine-generated.

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Laminoplasty expands the spinal canal to decompress the spinal cord, improving neurological function in 57% of patients with cervical spondylotic myelopathy. It also aims to preserve spinal stability and mobility.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Context:

  • Laminoplasty is a surgical procedure aimed at decompressing the spinal cord.
  • It is indicated for multisegmental spondylotic myelopathy with a narrow spinal canal.
  • Contraindications include spinal instability and kyphotic cervical spine.

Purpose:

  • To expand the spinal canal and decompress the spinal cord.
  • To secure spinal stability and preserve the spine's protective function.
  • To maintain spinal mobility in cases of multiple-level involvement.

Summary:

  • The surgical technique involves prone positioning, posterior midline approach, and expansion of the spinal canal.
  • The laminae are fixed with bone and/or implants.

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  • Postoperative management includes a cervical collar for 3-4 weeks.

    • Impact:

    • Long-term results show a 57% neurological improvement.
    • A 36% decrease in range of motion was observed.
    • A slight, clinically irrelevant reduction in lordosis was noted.