Open-door laminoplasty in pediatric spinal neurosurgery.
Multilevel laminotomy entails the risk of instability of the spine. In this paper we propose an application of the open-door laminoplasty technique in pediatric spinal neurosurgery. A standard laminotomy is performed at one side while a groove is drilled out at the other side to preserve the internal periosteum of the lamina. This allows a rolling elevation without complete separation of the laminae. The advantages of such a method are discussed.
Department of Neurosurgery, Hôpital de Hautepierre, Strasbourg, France.
P
P
Kehrli
R
R
Bergamaschi
D
D
Maitrot
D002648:Child; D006801:Humans; D009493:Neurosurgery / Q000379:methods*; D013115:Spinal Canal / Q000601:surgery*; D013131:Spine / Q000601:surgery*; D013524:Surgical Flaps / Q000379:methods