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Laminectomy for the Removal of Thoracic Ossification of the Ligamentum Flavum TOLF Using Ultrasonic and Conventional Osteotomes
Published on: April 21, 2023
Laminectomy with or Without Fusion to Manage Degenerative Cervical Myelopathy
Fahad H Abduljabbar1, Alisson R Teles2, Rakan Bokhari3
1Department of Orthopedic Surgery, McGill University Health Centre, Montreal, 1003 Decarie Boulevard, Quebec H4A 0A9, Canada; King Abdulaziz University Hospital, PO box 80125, Jeddah, Saudi Arabia.
Abstract:
Stand-alone cervical laminectomy for degenerative cervical myelopathy (DCM) has become increasingly rare due to risk of postlaminectomy kyphosis. This article discusses the biomechanics of cervical degeneration and how laminectomy effects spine stability, and summarizes relevant clinical studies to help guide surgical decision-making for the posterior treatment of DCM. Laminectomy and fusion remains a safe and efficacious treatment. Stand-alone laminectomy should only be used for a highly selected patient population with relative stiff lordotic cervical spines, using care to not disrupt facets and C2 and C7 muscle attachments.
