title: Laminotomy in adults: technique and results.
abstract: The objective of this study was to describe step by step our surgical technique of laminotomy and analyze our series with regard to spinal deformities (risk and predisposing factors), postoperative pain and rate of postoperative contusions. Data regarding patients who underwent our technique of laminotomy (N = 40, mean follow-up: 52 ms) (N = 40) between 2002 and 2006 were retrospectively evaluated. The technique used is illustrated in depth. Chronic pain was present in 30% with a mean score of 3/10 cm (Graphic Rating Scale). Postoperative kyphoses occurred in three patients, all below 35 years of age and with laminotomies which involved C2 and/or C7. None of these deformities required further surgical treatment because they were self-limiting or asymptomatic at a mean follow-up of 52 months. Based on the results, our technique proved to be safe and effective in terms of late deformities, blood loss, early and chronic postoperative pain and protection from postoperative accidents over the surgical site.
authors.affiliation: Department of Neurological Sciences, Neurosurgery, "Sapienza" University of Rome, v. le del Policlinico, 155, 00161 Rome, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Ruggeri
authors.forename: Angelo
authors.initials: A
authors.lastname: Pichierri
authors.forename: Nicola
authors.initials: N
authors.lastname: Marotta
authors.forename: Roberto
authors.initials: R
authors.lastname: Tarantino
authors.forename: Roberto
authors.initials: R
authors.lastname: Delfini
mesh_terms: D000328:Adult; D000368:Aged; D003288:Contusions / Q000453:epidemiology; D006801:Humans; D007796:Laminectomy / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D010149:Postoperative Pain / Q000453:epidemiology; D012189:Retrospective Studies; D014741:Video Recording; D055815:Young Adult