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Cervical Laminectomy and Laminoplasty
The authors would like to thank Stephen S. Scibelli, Kamal R.M. Woods, Shoshanna Vaynman, and J. Patrick Johnson for their work on the previous edition’s version of this chapter.
Indications
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Multilevel cervical stenosis with preservation of normal lordotic curvature.
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Diffuse ossification of posterior longitudinal ligament.
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Posterior cord compression resulting from buckling of thickened ligamentum flavum
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Posterior exposure of intraspinal pathology (e.g., tumor, vascular malformation, infection, hematoma).
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Factors limiting anterior neck dissection, including short neck, scarring from previous anterior neck dissection or radiation.
Contraindications
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Straightening of normal cervical lordosis or kyphotic sagittal alignment.
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Cervical instability from trauma, tumor invasion, or connective tissue disorder.
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Broad-based ventral pathology that may not be readily accessed from a posterior approach.
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