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Novel Surgical Approach in the Management of Longitudinal Pathologies Within the Spinal Canal: The Split Laminotomy and “Archbone” Technique: Alternative to Multilevel Laminectomy or Laminotomy

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Book cover Advances and Technical Standards in Neurosurgery

Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 41))

Abstract

Multilevel laminectomy to open the spinal canal carries the risk of spinal deformities and instability. With the aim of preserving and reconstructing the posterior structures the authors developed a novel, minimally invasive, multilevel spinous process splitting and distracting laminotomy approach with or without complementary corticocancellous iliac crest or PEEK cage “archbone” grafting. The technique allows exploration of the spinal canal and the removal of intramedullary pathologies. Moderate enlargement of the spinal canal with preservation of the majority of posterior structures is also possible, so that muscle attachments remain intact and postoperative complications are substantially reduced.

This surgical approach, while fulfilling the requirements of previous laminotomy techniques, helps to prevent damage to the crucial posterior stabilizers of the spine. In contrast to conventional spinal canal approaches, preservation of the majority of posterior structures is possible, leaving muscle attachments on the spinous processes and laminae completely intact.

Furthermore, the procedure for exposure and decompression of the spinal canal is a suitable method for all spinal segments, the cervical, thoracic, and the lumbar spine in all age groups.

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Authors and Affiliations

  1. National Institute of Neurosurgery, Amerikai út 57, 1145, Budapest, Hungary

    Peter Banczerowski MD, PhD, László Bognár MD, PhD, Róbert Veres MD, PhD & János Vajda MD, PhD

  2. Rabin Medical Center, Tel-Aviv University, Petah Tiqva, Israel

    Zvi Harry Rappaport MD, PhD & János Vajda MD, PhD

Authors
  1. Peter Banczerowski MD, PhD
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  2. László Bognár MD, PhD
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  3. Zvi Harry Rappaport MD, PhD
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  4. Róbert Veres MD, PhD
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  5. János Vajda MD, PhD
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Corresponding author

Correspondence to Peter Banczerowski MD, PhD .

Editor information

Editors and Affiliations

  1. Neurochirurgische Klinik, Univ.Klinikum Bonn Med. Einrichtungen, Bonn, Germany

    Johannes Schramm

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Banczerowski, P., Bognár, L., Rappaport, Z.H., Veres, R., Vajda, J. (2014). Novel Surgical Approach in the Management of Longitudinal Pathologies Within the Spinal Canal: The Split Laminotomy and “Archbone” Technique: Alternative to Multilevel Laminectomy or Laminotomy. In: Schramm, J. (eds) Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 41. Springer, Cham. https://doi.org/10.1007/978-3-319-01830-0_3

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  • DOI: https://doi.org/10.1007/978-3-319-01830-0_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-01829-4

  • Online ISBN: 978-3-319-01830-0

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