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Acta Neurochirurgica

, Volume 156, Issue 6, pp 1225–1230 | Cite as

Modified open-door laminoplasty for the surgical treatment of cervical spondylotic myelopathy in elderly patients

  • Stefan Alexander KönigEmail author
  • Uwe Spetzger
How I Do it - Spine

Abstract

Background

The authors describe their experience with a modified version of the standard technique of open-door laminoplasty for the surgical treatment of spondylotic myelopathy in elderly patients with temporary removal of the laminae, extensive decompression, and pre-plating of the laminae beyond the surgical field.

Methods

Description of surgical anatomy, surgical technique, indications, limitations, complications, and specific perioperative considerations, as well as specific information to give to the patient about surgery and potential risks. A summary of ten key points is given.

Conclusions

Transection of the laminae on both sides (temporary laminectomy) and pre-plating of the laminae outside of the surgical field has several advantages: better decompression of the spinal canal and the neuroforamina on both sides, easier undercutting of adjacent vertebral arches for cranio-caudal decompression, and no risk of spinal cord injury by the screwdriver when attaching plates to the laminae.

Keywords

Cervical spondylotic myelopathy Modified laminoplasty Surgical technique 

Notes

Conflict of interest

The authors certify that there is no actual or potential conflict of interest relating to this article.

Supplementary material

ESM 1

(MP4 288093 kb)

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Copyright information

© Springer-Verlag Wien 2014

Authors and Affiliations

  1. 1.Neurochirurgische KlinikKlinikum KarlsruheKarlsruheGermany

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