Summary
The T-laminoplasty allows for a generous decompression of the cervical canal. At the same time, it avoids the risk of late instability. The T-laminoplasty is an improvement over various other methods of laminoplasty for several reasons:
-
1.
A bone graft from donor site is not needed.
-
2.
The implanted bone graft is firmly secured, avoiding dislocation and compression of the spinal cord.
-
3.
A fusion of two segments becomes unnecessary.
-
4.
Implants (met al or bone) are not needed.
Similar content being viewed by others
References
Arima T (1969) Postlaminectomy malignments of the cervical spine. J Brain Nerve Trauma (Jpn) 1: 71–78
Fager CA (1973) Results of adequate posterior decompression in relief of spondylotic cervical myelopathy. J Neurosurg 38: 684–692
Fager CA (1977) Management of cervical disc lesion and spondylosis by posterior approaches. Clin Neurosurg 24: 488–507
Gorter K (1976) Influence of laminectomy on the course of cervical myelopathy. Acta Neurochir (Wien) 33: 265–281
Herkowitz HN (1988) A comparison of anterior cervical fusion, cervical laminectomy and cervical laminoplasty for the surgical management of multiple level spondylotic radiculopathy. Spine 13 (7): 774–780
Hirabayashi K (1978) Expansive open door laminoplasty for cervical spondylotic myelopathy. Operation (Jpn) 32: 1159–1163
Hirabayashi K, Watanabe K, Wakano Ket al (1983) Expansive open door laminoplasty for cervical spinal stenotic myelopathy. Spine 8: 693–699
Hukuda S, Ogata M, Mochizuki T, Shichikawa K (1988) Laminectomy versus laminoplasty for cervical myelopathy: brief report. J Bone Joint Surg (Br) 70 (2): 325–325
Ishida Y, Suzuki K, Ohmori K, Kikata Y, Hattori Y (1989) Critical analysis of extensive cervical laminectomy. Neurosurgery 24: 215–222
Itoh T, Tsuji H (1982) En block cervical spinal canal laminoplaty. Bessatsu Seikei Geka (Jpn) 2: 241–248 (see Kimura, 1984)
Kahn EA (1947) The role of the dentate ligaments in spinal cord compression and the syndrome of lateral sclerosis. J Neurosurg 4: 191–199
Kimura I, Mitsuru OH, Shingu H (1984) Cervical myelopathy treated by canal expansive laminoplasty. J Bone Joint Surg 66: 914–920
Koyama T, Hana J (1985) Cervical laminoplasty using apatite beads as implants. Experiences in 31 patients with compressive myelopathy due to developmental canal stenosis. Surg Neurol 24: 663–667
Kurokawa T, Tsuyama N, Tanaka H (1982) Enlargement of spinal canal by sagittal splitting of spinosous process. Bessatsu Seikeigea (Jpn) 2: 234–240 (see Nakano, 1988)
Matsutsakiet al (1982) Cervical canal expansive laminoplasty with unilateral fusion. Bessatsu Seikei Geka (Jpn) 2: 249–252 (see Kimura, 1984)
Nakano N, Nakano T, Nakano K (1988) Comparison of the results of laminectomy and open door laminoplasty for cervical spondylotic myeloradiculopathy and ossification of the posterior longitudinal ligament. Spine 13: 792–794
Ohmori K, Ishida Y, Suzuku K (1987) Suspension laminectomy: a new technique for compression myelopathy. Neurosurgery 21: 950–957
Oyama M, Hattori S, Morikawa N (1973) A new method of cervical laminectomy. Central Jpn J Orthop Traumat Surg 16: 792–794
Piepgras DG (1977) Posterior decompression for myelopathy due to cervical spondylosis: laminectomy alone versus laminectomy with dentate ligament resection. Clin Neurosurg 24: 508–515
Rogers L (1961) The treatment of cervical spondylotic myelopathy by mobilisation of the cervical cord into an enlarged spinal canal. J Neurosurg 18: 490–492
Sim FH, Svien HJ, Bickel NHet al (1974) Swan neck deformaty following extensive cervical laminectomy. A review of 21 cases. J Bone Joint Surg 56 A: 564–580
Tsuji H (1982) Laminoplasty for patients with compressive myelopathy due to so-called spinal canal stenosis in cervical and thoracic regions. Spine 7: 28–34
Watanabe K, Hirabayashi K (1981) Expansive laminoplasty for cervical stenotic myelopathy. Orthopaedics (Jpn) 32: 357–362 (see Hirabayashi, 1983)
White AA, Panjabi MM (1988) Biomechanical considerations in the surgical management of cervical spondylotic myelopathy. Spine 13 (7): 856–860
Zanasi R, Fioretta G, Rotolo F, Zanasi L (1984) “Open door” operation to raise the vertebral arch in myelopathy due to cervical spondylosis. Ital J Orthop Traumatol 10: 21–31
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hamburger, C. T-laminoplasty — a surgical approach for cervical spondylotic myelopathy. Acta neurochir 132, 131–133 (1995). https://doi.org/10.1007/BF01404860
Issue Date:
DOI: https://doi.org/10.1007/BF01404860