Surgical Considerations for Access to the Spinal Canal

  • Anthony J. Raimondi
Part of the Principles of Pediatric Neurosurgery book series (PRINCPEDIATR)


It is not possible to state realistically what the single most important aspect of an operative procedure is (diagnosis, anatomic localization, blood control, exposure, body position). However, it is possible to state that if the surgeon positions the child’s body properly, taking into consideration the location of the lesion and the planned skin incision, he will, throughout the operation, be oriented anatomically and always have the lesion at the center of his operative field.


Spinal Canal Spinous Process Spinal Cord Tumor Surgical Consideration Interspinous Ligament 
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  1. 1.
    Raimondi AJ: Pediatric Neurosurgery — Theory and art of surgical techniques. New York: Springer-Verlag, 1987.Google Scholar
  2. 2.
    Tachdjian MO, Matson DD: Orthopaedic aspects of intraspinal tumors in infants and children. J Bone Joint Surg [Am] 47:223–248, 1965.Google Scholar
  3. 3.
    Cattell HS, Clark GL Jr: Cervical kyphosis and instability following multiple laminectomies in children. J Bone Joint Surg [Am] 49:731–720, 1967.Google Scholar
  4. 4.
    Bette H, Englehardt H: Folgezustände von Laminektomien an der Halswirbelsäule. Z Orthop 85:564–573, 1955.PubMedGoogle Scholar
  5. 5.
    Raimondi AJ, Gutierrez FA, Di Rocco C: Laminectomy and total reconstruction of the posterior spinal arch for spinal canal surgery in childhood. J Neurosurg 45:555–560, 1976.PubMedCrossRefGoogle Scholar
  6. 6.
    Yasuoka S, Peterson HA, Laws ER, et al.: Pathogenesis and prophylasis of postlaminetomy deformity of the spine after multiple level laminectomy: Difference between children and adults. Neurosurgery 9:145–151, 1981.PubMedCrossRefGoogle Scholar
  7. 7.
    Barbera J, Gonzales H, Esquerdo J, et al.: Prophylaxis of the laminectomy membrane: An experimental study in dogs. J Neurosurg 49:419–424, 1978.PubMedCrossRefGoogle Scholar
  8. 8.
    La Rocca H, Macnab I: The laminectomy membrane. Studies on its evolution, characteristics, effects and prophylaxis in dogs. J Bone Joint Surg [Br] 56:54550, 1974.Google Scholar
  9. 9.
    Raimondi AJ: Reflection of a laminar flap for exposure of spinal canal in children. Clin Neurosurg 25:504–511, 1978.PubMedGoogle Scholar
  10. 10.
    Raimondi AJ, Gutierrez FA: Reconstruction of the posterior vertebral arch laminotomy for intraspinal surgery, in Ransohoff J (ed): Modern techniques in surgery — neurosurgery. Mt Kisco, NY: Future, 1979, pp 10–11.Google Scholar

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© Springer-Verlag New York Inc. 1989

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  • Anthony J. Raimondi

There are no affiliations available

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