我是这样做的：使用带有脚踏板附件的高速钻机整块切除下颈椎椎板。
How I do it: en-bloc subaxial cervical laminectomy using a high-speed drill with a footplate attachment.
机构信息
Georgetown University Medical Center, Department of Neurosurgery, Washington, DC, USA.
Medstar Musculoskeletal Research Center, Department of Orthopaedic Surgery, Medstar Union Memorial Hospital, Baltimore, MD, USA.
出版信息
Acta Neurochir (Wien). 2020 Feb;162(2):311-315. doi: 10.1007/s00701-019-04158-y. Epub 2019 Dec 10.
BACKGROUND
Cervical laminectomy is a common strategy to decompress the spinal canal.
METHODS
The anatomy of the cervical spine and surrounding critical structures as viewed from the posterior approach is described. The use of a high-speed drill with a footplate attachment to make laminar troughs with an en-bloc subaxial cervical laminectomy is described with a discussion on surgical technique and complication avoidance.
CONCLUSION
This technique allows for a safe, comfortable, and rapid decompression of the cervical spine with minimal risk. For routine cases, this may potentially be more safe and cost-effective than using a cutting bur or bone scalpel attachment.
背景
颈椎板切除术是一种常见的椎管减压策略。
方法
描述了从后路观察颈椎和周围关键结构的解剖结构。描述了使用带有脚踏板附件的高速钻头制作带有整块下位颈椎板切除术的板槽的方法，并讨论了手术技术和避免并发症。
结论
这种技术可以安全、舒适、快速地减压颈椎，风险最小。对于常规病例，与使用切割球头或骨刀附件相比，这种方法可能更安全、更具成本效益。
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