椎板切除术是一种常见的手术,以减压椎管,以缓解继发于多种病因如退行性脊柱改变的椎管狭窄,骨折,肿瘤,血管病变,和感染。技术的进步允许更精确的截骨术,并为附近的结构提供更多的保护;然而,这些技术可能并不总是在某些设施可用。据作者所知,我们描述了一种使用手持式骨凿进行椎板切除术的创新技术,它广泛可用且成本低。我们对尸体的经验和案例研究表明,该技术似乎是安全有效的,并且可能有可能减少椎板切除术的手术时间。
Laminectomy is a commonly performed surgery to decompress the spinal canal to relieve spinal canal stenosis secondary to a variety of etiologies such as degenerative spinal changes, fractures, tumors, vascular lesions, and infections. Advances in technologies have allowed for more precise osteotomies and offer more protection to nearby structures; however, these technologies may not always be available at some facilities. To the best of the authors\' knowledge, we describe an innovative technique to perform laminectomy using a handheld
osteotome, which is widely available and at low cost. Our experience with cadavers and a
case study shows that the technique appears to be safe and effective and may have the potential to reduce the procedure length of a laminectomy.