Surgical Techniques: Sublaminar Wiring for Long Posterior Fixation
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In subaxial region, the first technical key in sublaminar wiring/taping is to perform laminotomy at the cranial part of the lamina before wire placement, because the spinal canal is narrowest in this level. The second key is to remove the ligamentum flavum using curette without any bony removal of caudal part of the lamina, where the canal is wide enough. Sublaminar wiring/taping is still clinically useful especially in fragile bone cases and has the ability to reinforce the screw construct.
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