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Navigation-Assisted Bilateral Troughing Technique for Lumbar Laminectomy: A Stepwise Approach to Safe, Teachable, and
Imran Siddiqi1, Allison Shay2, Arisa Ueno1
1Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
Cureus
|June 29, 2026
Summary
A new six-step lumbar laminectomy technique standardizes bone removal, reducing risks like dural injury and instability. This reproducible approach enhances surgical efficiency and provides a teachable framework for residents.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Surgical Techniques
Background:
- Lumbar laminectomy variability impacts decompression outcomes.
- Risks include persistent symptoms, iatrogenic instability, dural injury, and cerebrospinal fluid (CSF) leak.
- A standardized, teachable technique is needed to mitigate these risks.
