Abstract
Spinal stenosis is the most common indication for surgery in the lumbar spine [1]. A minimally invasive approach through a tubular retractor provides direct surgical access to decompress the central canal and lateral recess in patients with evidence of central stenosis due to broad based disc bulges, ligamentum flavum hypertrophy, and facet arthropathy. Benefits of a minimally invasive laminectomy include smaller incision, less muscular disruption and pain, reduced blood loss and rate of blood transfusion, reduced rate of blood transfusion, preservation of components of the midline tension band including interspinous ligaments, spinous process, supraspinous ligament.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Weinstein JN, Lurie JD, Tosteson TD, Hanscom B, Tosteson AN, Blood EA, Birkmeyer NJ, Hilibrand AS, Herkowitz H, Cammisa FP, Albert TJ, Emery SE, Lenke LG, Abdu WA, Longley M, Errico TJ, Hu SS. Surgical versus nonsurgical treatment for lumbar degenerative spondylolisthesis. N Engl J Med. 2007;356(22):2257–70. https://doi.org/10.1056/NEJMoa070302.
Deutsche Gesellschaft für Neurochiurgie. In: Wüllenweber R, editor. Lumbar disc; adult hydrocephalus: proceedings of the 27th annual meeting of the Deutsche Gesellschaft für Neurochirurgie, Berlin, September 12–15, 1976, Advances in neurosurgery, vol. 4. Berlin: Springer; 1977.
Podichetty VK, Spears J, Isaacs RE, Booher J, Biscup RS. Complications associated with minimally invasive decompression for lumbar spinal stenosis. J Spinal Disord Tech. 2006;19(3):161–6. https://doi.org/10.1097/01.bsd.0000188663.46391.73.
Phan K, Mobbs RJ. Minimally invasive versus open laminectomy for lumbar stenosis: a systematic review and meta-analysis. Spine. 2016;41(2):E91–E100. https://doi.org/10.1097/brs.0000000000001161.
Palmer S, Turner R, Palmer R. Bilateral decompression of lumbar spinal stenosis involving a unilateral approach with microscope and tubular retractor system. J Neurosurg. 2002;97(2 Suppl):213–7.
Sclafani JA, Kim CW. Complications associated with the initial learning curve of minimally invasive spine surgery: a systematic review. Clin Orthop Relat Res. 2014;472(6):1711–7. https://doi.org/10.1007/s11999-014-3495-z.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material Laminectomy electronic supplementary material
Right L4-5 laminectomy with bilateral decompression (MP4 81138 kb)
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Medress, Z.A., Chen, YR., Connolly, I., Ratliff, J., Desai, A. (2018). Laminectomy. In: Tender, G. (eds) Minimally Invasive Spine Surgery Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-71943-6_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-71943-6_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-71942-9
Online ISBN: 978-3-319-71943-6
eBook Packages: MedicineMedicine (R0)