Transverse Split Laminoplasty: A Novel Anatomy Preserving Technique.
Publication/Presentation Date
3-1-2023
Abstract
Laminoplasty is a technique often used in spine surgery as a way of restoring a patient's normal anatomy and posterior tension band (PTB). In pediatric patients, this is an important consideration given their intrinsic relative ligamentous laxity and significant potential for future growth. Conventional laminoplasty re-approximates the bone removed at each vertebral segment, relying on the lamina to heal through osteogenesis and the soft tissue of the PTB to heal from a sharp division. Ligamentous healing of the PTB constitutes the formation of a scar that is biologically and biomechanically inferior to the tissue it has replaced. Herein, the authors present two pediatric cases in which the novel technique of transverse split laminoplasty was used to approach intradural pathology and subsequently reconstruct the spine, while maximizing preservation of the PTB, with excellent post-surgical outcomes.
Volume
15
Issue
3
First Page
36519
Last Page
36519
ISSN
2168-8184
Published In/Presented At
Li D, Hong DH. Transverse Split Laminoplasty: A Novel Anatomy Preserving Technique. Cureus. 2023 Mar 22;15(3):e36519. doi: 10.7759/cureus.36519. PMID: 37090339; PMCID: PMC10121262.
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
37090339
Department(s)
Department of Pediatrics
Document Type
Article