News - Open-Porta posterior ceruicis laminoplasty procedure

Keypoint

I. De unipolar electric knife cuts the fascia and then peels the muscle under the periosteum, pay attention to protect the articular synovial joint, meanwhile the ligament at the root of the spinous process should not be removed in order to keep the integrity of the cervical tension band;

II. Operam TO graduale augmentum ostium ostium totius, duo parva spatulas potest ad aperire parva pars unius vertebralis laminam et alterum, et innumerabilis, quod potest vitare perfectam fractura in latitudine maximam partem potest;

III. Cum Opening the door unilaterally, biting off the ligamentum flavum at the opening site may lead to bleeding from the venous plexus, at this time, do not panic, you can apply bipolar electrocoagulation to stop the bleeding, or gelatin sponges to stop the bleeding.

Aperi-Porta posterior ceruicis spina surgery erat primum invented ab Iaponica scholarium in 1970s. Etsi non est melius multis temporibus, in basic chirurgicam operationem adhuc magis vel minus idem, quod est relative magis convenient et similes posteriori duplici-ostium operationem cum similis medicinales spina spina spina et spina chirurgi.

1.Open-Porta expansile ceruicis laminoplasty

Hoc articulus est ab Department of Neurological Surgery ad University of Miami hospitalis in Miami, Florida, et in terms of specifica electionem procedendi, quod elegit aperta aperta ad aperta in C3 ad costas perperam aperire aperto-ostium, et supplescitur cum autologous implantatorum, ut infra, et supplemed cum autologous ad aperta, ut infra, et supplemed in aperto, ut infra aperire, et supplemed et in aperto, ut infra aperire, et supplemed in aperto, ut infra aperta, ut infra, et in aperto, ut infra, et supplemento, in aperto, ut infra aperire, et supplemento in aperto, ut infra aperire, ut infra, et in aperto:

The patient was placed in the prone position, the head was fixed with Mayfield head frame, the tape was used to pull down the patient's shoulder and fix it on the operating bed, 1% lidocaine and epinephrine were used for local infiltration and then the skin was incised along the midline to reach the fascia, and the muscles were peeled off from under the periosteum after incision of the fascia with a single-stage electrosurgical knife, and the protection de articularis synovialis articulis solvit operam ad, et ligamentum in sphenoidale radix debet non resectum ut custodiant integritas tensionis cohortem de ceruicis vertebrae; superiores inferiores exposures facta. The upper and lower exposure ranges reached the lower part of the C2 vertebral plate and the upper part of the T1 vertebral plate, and the lower third of the C2 vertebral plate and the upper third of the T1 vertebral plate were removed with a grinding drill, and then the ligamentum flavum was cleaned up by a 2-mm plate biting forceps to expose the dura mater, and part of the spinous process Morsus Mordet forcipe parare implantationem os.

Next the C3-C7 door opening was performed, as shown in the figure above, in general the side with the heavier symptoms was used as the door opening side and the lighter side was used as the hinge, the door opening or slotting site was in the junction area of the vertebral plate and articular eminence, the door opening side was ground through the cortex bilaterally and the hinge side was ground through the cortex in a single layer, and a match head Dinding caput erat usus ad ostium ostium.

After grinding through the cortex bilaterally, the open side of the door needs to be cleaned up with the ligamentum flavum with a vertebral plate biting forceps until the dural sac can be clearly seen, and then use a small spatula to pry open the "door" to about 8-16mm and put in the implant block, paying attention to the gradual increase of the overall size of the open door, and the two small spatulas can be used to Aperi autem una vertebralis laminam ad parva moles ante foramen usque ad alterum, et repetit processus, et aperiens sursum ostium paulatim ad idealem latitudinem (canalis a 4mm ad vitare potest.

Nihil debet esse levi praesentia compressive accentus in locum ubi os obstructionum est positus sine necessitate externa fixation et auctores vidimus paucis inpedimenta in inhaeret, cum ad extremum ex Os a spino, cum ad extremum in cardine de medullae in cardine de spinosus processus in terebinthus in cardine de medullatina in cardinas de spinosus processus in a sclopo.

2.Open-ostium ceruicis expansile laminoplasty

Hoc articulus, ex Department of Neurosurgery ad Keck Medical Center de University of Southern California, habet fere eadem titulo sicut prior documento, cum mutatione in modum et philosophia et excelsum, et ad uniformitatem in disciplina in Civitatibus Foederatis.

Chirurgicam segmentis fere solum c3-7 ad facilitate posterior displacement de medulla spinalis; sphenoidale radix ligamentorum conservati facilitate ceruicis stabilitatem; A par caput milling EXERCITATIO solebat aperire ostium ad minimize damnum ad medulla spinalis; Et os caudices positus in C3, V et VII ad auxilium ostium ostium.

Figura Nota: A, nuditate laminae a fundo C2 ad summitatem T1. B, EXERCITATIO lateralis sulcus cum completum OsTeotomy hinc et partialis osteotomy trans. C, elevatio Lamina a C3 ad C7 sicut unum unitas. D, collocatione de an Allograft os spacer.

Figura Nota: Intraoperative View post EXERCITATIO foraminibus in lateralibus striatus C3, C5, C7 (a) et post placement of an Allograft spacer (b).

Tamen, ejus os eius inserere materiam, praeter allogeneic os (Fig. A), est vertebralis autogenous os insita de polylactic acid mesh, ut ostenditur infra (BC.), Quod est minus commune in Sinis. In terms of latitudinem ostium ostium, idealis width consideratur esse 10-15 mm, quod est leviter aliud a 8-16 mm supra.

When performing a single door opening of the vertebral plate, biting off the ligamentum flavum at the site of the door opening may result in bleeding from the vein, at this time do not panic, you can apply bipolar electrocoagulation to stop the bleeding or gelatin sponge to stop the bleeding.

3ccervical laminoplasty

Insuper et supporting os angustos ad ostium ostium, alii modi de fixing ostium ostium sunt in hoc articulus, ut tie-filum modum et microplates in orci usu et providet in microplates in orci usu et providet.