title: Unilateral Laminotomy with Bilateral Spinal Canal Decompression for Lumbar Stenosis: A Technical Note.
abstract: Lumbar stenosis has become one of the most common spinal pathologies and one that results in neurogenic claudication, back and leg pain, and disability. The standard procedure is still an open laminectomy, which involves wide muscle retraction and extensive removal of the posterior spinal structures. This can lead to instability and the need for additional spinal fusion. We present a systemized and detailed approach to unilateral laminotomy for bilateral decompression, which we believe is superior to the standard open laminectomy in terms of intraoperative visualization, postoperative stability, and degree of invasiveness.
authors.affiliation: Seattle Science Foundation ; Neurological Surgery, Wayne State University.
authors.forename: Marc
authors.initials: M
authors.lastname: Moisi
authors.affiliation: Neurosurgery, Swedish Neuroscience Institute ; Department of Trauma Surgery, BG University Hospital Bergmannsheil, Bochum, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Fisahn
authors.affiliation: Neurosurgery, Swedish Neuroscience Institute.
authors.forename: Lara
authors.initials: L
authors.lastname: Tkachenko
authors.affiliation: Neurosurgery, Seattle Science Foundation.
authors.forename: R Shane
authors.initials: RS
authors.lastname: Tubbs
authors.affiliation: Radiology, University of Chicago.
authors.forename: Daniel
authors.initials: D
authors.lastname: Ginat
authors.affiliation: Neurosurgery, Swedish Neuroscience Institute.
authors.forename: Peter
authors.initials: P
authors.lastname: Grunert
authors.affiliation: Neurosurgery, Swedish Neuroscience Institute.
authors.forename: Shiveindra
authors.initials: S
authors.lastname: Jeyamohan
authors.affiliation: Neurosurgery, Swedish Neuroscience Institute.
authors.forename: Stephen
authors.initials: S
authors.lastname: Reintjes
authors.affiliation: Neurosurgery, Swedish Neuroscience Institute.
authors.forename: Olaide
authors.initials: O
authors.lastname: Ajayi
authors.affiliation: Neurosurgery, Swedish Neuroscience Institute.
authors.forename: Jeni
authors.initials: J
authors.lastname: Page
authors.affiliation: Neurosurgery, Complex Spine, Swedish Neuroscience Institute.
authors.forename: Rod J
authors.initials: RJ
authors.lastname: Oskouian
authors.affiliation: Neurosurgery, Swedish Neuroscience Institute.
authors.forename: David
authors.initials: D
authors.lastname: Hanscom
keywords: lumbar decompression; lumbar laminectomy; lumbar spine; lumbar stenosis; spinal stenosis; unilateral laminotomy bilateral decompression