Wang Alice S, Savla Paras, Farr Saman, Asgarzadie Farbod, Miulli Dan E
Neurosurgery, Riverside University Health System Medical Center, Moreno Valley, USA.
Neurosurgery, Kaiser Permanente Fontana Medical Center, Fontana, USA.
Cureus. 2024 Feb 8;16(2):e53867. doi: 10.7759/cureus.53867. eCollection 2024 Feb.
Laminectomy is a commonly performed surgery to decompress the spinal canal to relieve spinal canal stenosis secondary to a variety of etiologies such as degenerative spinal changes, fractures, tumors, vascular lesions, and infections. Advances in technologies have allowed for more precise osteotomies and offer more protection to nearby structures; however, these technologies may not always be available at some facilities. To the best of the authors' knowledge, we describe an innovative technique to perform laminectomy using a handheld osteotome, which is widely available and at low cost. Our experience with cadavers and a case study shows that the technique appears to be safe and effective and may have the potential to reduce the procedure length of a laminectomy.
椎板切除术是一种常见的手术，用于减压椎管，以缓解继发于多种病因（如退行性脊柱改变、骨折、肿瘤、血管病变和感染）的椎管狭窄。技术的进步使得截骨术更加精确，并能为附近结构提供更多保护；然而，在一些医疗机构这些技术可能并不总是可用。据作者所知，我们描述了一种使用手持骨刀进行椎板切除术的创新技术，该骨刀广泛可用且成本低廉。我们在尸体上的经验和一个病例研究表明，该技术似乎安全有效，并且可能有缩短椎板切除术手术时间的潜力。
