View Single Post
  #2 (permalink)  
Old 11-18-2006, 03:26 AM
mmglobal's Avatar
mmglobal mmglobal is offline
Join Date: Sep 2006
Posts: 2,511


Interesting post. I have not had time to research much, but here are a few quick thoughts.

I observed a 5-level open door laminoplasty surgery a few weeks ago. Very interesting stuff. When reading about the skip laminoplasty, it certainly makes sense to preserve as much integrity of the muscle/bone/ligament systems as possible. However there must be some trade-offs.

If you could have seen this procedure, you would not believe how much room they open up in the canal area. At 4 of the 5-levels, they were able to insert a 6mm spacer in the lamina. The amount of room added is dramatic. The ability to visualize the field, decompress, etc... is dramatic. Yes, this comes at a cost of a more invasive procedure.

I'll bet that the converse of my last statement is true as well. In the skip procedure they are fully decompressing alternating levels. If you need a lot of decompression, then the skip procedure will be too much of a compromise. That ribbon rasp tool looked very cool.

I'm sure that there are other trade-offs... this is just a quick reply. I'm totally swamped putting zeegers' party together. any chance you can come down? There may be someone flying a private plane down from the bay area???

1997 MVA
2000 L4-5 Microdiscectomy/laminotomy
2001 L5-S1 Micro-d/lami
2002 L4-S1 Charite' ADR - SUCCESS!
2009 C3-C4, C5-C6-C7, T1-T2 ProDisc-C Nova
Summer 2009, more bad thoracic discs!
Life After Surgery Website
President: Global Patient Network, Inc.
Reply With Quote