The Spine Journal
Volume 6, Issue 6, Supplement , Pages S274-S281, November 2006

Cervical laminoplasty

  • Michael P. Steinmetz, MD
    • ,
  • Daniel K. Resnick, MD

      Affiliations

    • Corresponding Author InformationCorresponding author. Dept. of Neurological Surgery, University of Wisconsin School of Medicine, K4/834 Clinical Science Center, 600 Highland Ave., Madison, WI 53792. Tel.: (608) 263-9651; fax: (608) 263-1728.

Department of Neurosurgery, University of Wisconsin School of Medicine, K4/834 Clinical Science Center, 600 Highland Ave., Madison, WI 53792, USA

Abstract 

Laminoplasty was developed to treat multilevel pathology of the cervical spine, namely ossification of the posterior longitudinal ligament and cervical spondylotic myelopathy. Laminoplasty was popularized in the 1980s, and since then many variations on the theme have been developed. All are similar in that they expand the cervical canal while leaving the protective dorsal elements in place. Advocates claim that this prevents the formation of the “postlaminectomy” membrane, maintains spinal alignment, and should aid in maintaining cervical range of motion. The aforementioned are all potential shortcomings of laminectomy or laminectomy and fusion. The procedure has proven to be essentially equal to other cervical decompressive procedures in the neutral or lordotic spine, and outcome has been shown to be durable.

Keywords: Laminoplasty, Cervical spine, Laminectomy, Ossification of the posterior longitudinal ligament, Cervical spondylotic myelopathy, Myelopathy, Cervical stenosis

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 FDA device/drug status: approved but not for this indication (mini-plates).Author DKR acknowledges a financial relationship (consultant with Medtronic) that may indirectly relate to the subject of this research.

PII: S1529-9430(06)00223-3

doi:10.1016/j.spinee.2006.04.023

The Spine Journal
Volume 6, Issue 6, Supplement , Pages S274-S281, November 2006

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